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{ SAN JUIN COUNTY PUBLIC HEALTRVICES <br /> P O Box 388 • STOCKTON, CA 95201-0388 • PHONE (209) 468-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA HERRN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> OPERATING PENT FOR UNDERGRO(M STORAGE TAW FA:CrIL_ITY <br /> Tank Tank Permit An:Dual Permit Fee Valid <br /> P/E timber Record ID Kober Capacity Contents Permit Status From To <br /> 2380 001 TA14MI 004314 8, OWtnleaded_ 011'Active Permit 01/01/95 1L . <br /> 2380 442 TA14M2 004315 8,000 Unleaded 01 Active Permit 41/411/95 12/31195 <br /> 2380 443 TA143843 004316 81400 Unleaded 41 Active Permit 41/41/95 12/311% <br /> PERMIT CONDITIONS; <br /> 1) The PERMIT TO ATE will become void if N*A PERMIT Fees and SERVICE Fees are not paid andler the UST system(s) fails <br /> to remain in compliance with the PERMIT CHITIN. <br /> 2) The PERMIT TO L)PERATE is granted to the TANS ONER An accepts responsibility for operating and monitoring the UST system <br /> according to State underground storage tank laws and regulations as well as any conditions established by San Joaquin County. <br /> 3) The TAW OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system according to tte WRITTEN <br /> OPERATING AMEBW rewired under Section 25293, Chapter 6.7, Division 20, California Health and Safety Code. <br /> 4) The TAW W ER shall notify the Environmental Health Division of any proposed change in operation or ownership of the UST <br /> system. <br /> S) 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 -.*- ,)Val or <br /> change of UST system equipment. <br /> 7) This PERMIT TO [OPERATE shall not be considered permission to violate any existing laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> r <br /> PERMIT TO OPERATE an UST FACILITY issued to, EDWARD & DELORES C:AFci OZA <br /> PO BOX 1022 <br /> MANTECA, CA 96336 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> THIS FORM MUST BE DISPLAYED CONSPICUMSLY ON THE PREMISES <br /> REGULATED FACILITY: MAIM! STREET MIM MART Account ID,, 0003295 <br /> 290 N MAIN '-T Facility 10; 003716 <br /> MANTECA, CA 963:36 Permit Printed: 08/11/95 <br /> BILLING SSr <br /> CARDOZA, ED <br /> PO BOX 1022 <br /> MANTECA, CA 96336 <br />