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SAN JOAN COUNTY PUBLIC HEALTH *VICES <br /> P O Box 388 • RrocxTON, CA 95201-0388 • PgONE (209) 468-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER p" <br /> DONNA RERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> k <br /> OPMIrING SIT FOR UMER9ilMW STM40E Tom. FACILITY <br /> Tank Tank Permit Annual Permit Fee Valid <br /> P/E Number Record ID Number 4PaEUY Contents Permit Status From To <br /> 2w— 001 TA14t. 1 004314 8,000 Unleaded 1 Active Permit 01101/97 12131197 <br /> 2380 002 TA143802 004315 8,400 Unleaded 01 Active Permit 01/41/97 12/31/97 <br /> 23 ,1 443 TA143803 444316 81040 Unleaded 01 Active Permit 41/41/97 12/31197 <br /> a <br /> i <br /> PERMIT CONDITIONS: <br /> 1) The PERMIT TO OPERATE will become void if ANM PEA14IT Fees and SERVICE Fees are not paid and/or the UST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TAW OWNER who accepts responsibility for operating and monitoring to UST system <br /> according to State ur4erground storage tank laws and regulations as well as any conditions establisNiad by Sart Joaquin County. <br /> k3) The TANS OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system according to the WRITTEN <br /> ROPERATING AGREEMENT required ►uT&r Section 25293, Chapter 6.7, Division N, California Health and Safety Code. <br /> 4) The TANS OAR shall notify the Envir tal Health Division of any proposed change in operation or ownership of the UST <br /> system. <br /> 5) Upon any change in equipment, design or operation of this facility, the PERMIT TO OPERATE will be reviewed by the <br /> Environmental Health Division. <br /> 6) A construction or removal permit is required from the Environmental Health Division prior to any removal or <br /> change of UST system equipment. <br /> 7) This PERMIT TO (MATE shall not be considered permission to violate any existing laws, ordinances or statutes of other <br /> kfederal, state or local agencies. <br /> PERMIT TO OPERATE an UST FACILITY issued to: EDWARD & DELORES C-ARD02 A <br /> PES BOX 1022 <br /> MANTECA, CA 96*31 36 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> THIS FQ14" MUST BE D19"flED OMWICUMMY ON THE ISES <br /> REGULATED FACILITY; MAIN STREET MINI MART* Account ID, 0403295 <br /> r,: c MAIN .BT / Facility ID, 003716 <br /> t CA 9-S-13 f Permit Printed, 03/28197 <br /> BILLING ADDRESS, CAF DOZA, ED <br /> ATTN: ED CARDDZA <br /> PO BOY 1022 <br />