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SAN JO COUNTY PUBLIC HEAL VICES <br /> P O Box 38STOCKTON, CA 95201-0388 • PHHOMM09) 468-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA RERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> EF9MTIN6IT FOR UNDER6RDUM STLViAE TANK FACILITY <br /> Tari Tank Permit Annual Permit Fee Valid <br /> P/E Number Record 10 Number Capacity Contents Permit Status From To <br /> 2380 001 TA143801 004314 8,000 Unleaded 01 Active Permit 01/01196 12/31/96 <br /> 2V 002 TA143802 004315 8,000 Unleaded 01 Active Permit 01101/'% 12/31/% <br /> 2380 003 TA14 J3 004316 9,000 Unleaded 01 Active Permit01/011% 12/31196 <br /> PERMIT CONDITIONS: <br /> 1) The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and SERVICE Fees are not paid and/or the IST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS <br /> 2) The PERMIT TO OPERATE is granted to the TANS MR who accepts responsibility for aerating and monitoring the UST system <br /> according to State undernd storage tank laws and regulations as well as any conditions established by San Joaquin County. <br /> 3) The TANK{ OPERATOR(S), It different from the tank owner, shall operate and monitor the UST system according to the WRITTEN <br /> OPERATING AGREEMENT<reaquirod cinder Section 25293, Chapter 6.7, Division 20, Cali€ornia Health and Safety Code. <br /> 4) The TAW OWNER shall notify the Environmental Health Division of any proposed change in oration or ownership of the LST <br /> system. <br /> 5) Qpw 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 Kermit is required from the Environmental Health Division prior to any removal or <br /> change of UST system equipment.. <br /> 7) This PERMIT TO OPERATE-stall riot considered permission to violate any existing laws, ordinances or statutes of other <br /> federal, state or local agencieV.. <br /> PERMIT TO OPERATE an UST FACILITY issued to: EDWARD & DELt RES C:AhDOZA <br /> PO BOX 1022 <br /> MANTEC:A, CA 96336 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENT'S are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause . <br /> THIS F T BE DISPLAYED IC ON TME PRENTSES <br /> REGULATED FACILITY: MAIN STREET MINI MART# Account IN 0003"299 <br /> . .. -1* - Facility ID: ;:03716 <br /> MANTE+'A CA 95336 Permit Printed,, OS/02/96 <br /> BILLING ADDRESS: <br /> C:ARDOZA ED <br /> PO BOX 1022 <br /> MANTECA, CA 95336 <br />