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SAN JOAQjff COUNTY PUBLIC HEALTH SFWCES <br /> P O Box 388 x CA 95201-0388 • PHONE M 468-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> �ONNNNAHERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> T � FOR kX4DER6RLX*4D � TAW FACILITY <br /> Tank Tank Permit. Annual Permit. FeeValid <br /> PIE !mer Record ID Number Capacity Contents Fermit Status From To <br /> 001 TA149701 005 5 10,000 Unleaded 01 Active Permit 01/01/97 12/31/97— <br /> : 7 002 TA149702 005367 10,000 Unleaded 01 Active Permit 01/01/97 12/31/97 <br /> 2350 003 TA149703 005365 t;uJ 10, Unleaded 0i Active Permit 01101197 12/31197 <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 UST system(s) fails <br /> to remain in compliance with the PENT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TANS OWER who accepts respinsibility for operating and monitoring the UST system <br /> according to State underground storage tank laws and regulati7ns as well as any conditions established by San jo- win County. <br /> 3) The TANS OPERATOR(S), if different from the tank owner, shall operate and monitor R* UST system according to the WRITTEN <br /> OPERATING AGREEMENT required under Section 25293, Chapter 6.7, Division 200, California Health and Safety Code. <br /> 4) The TANK OAR shall notify the Environmental 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 EFEEATE shall not be considered permission to violate any existing laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> PERMIT 10 ::AERATE an LIST FACILITY issued ti JACK t RUT1T 1 ROSE <br /> 1040 CALIFORNIA ST <br /> ESCAL3 phi, CA 95'320 <br /> PERMITS T4 4 OPERATE and ANNUAL. PERMIT FEC PAYMENTS are NOT TRANSFERABLE. <br /> and may be SUSPENDED or REVOKED for cause. <br /> THIS F" MUST BE DISPLAYED CLEWSPICM)S Y ON THE PREMISES <br /> REGULATED FACILITY: ESCALON MINI MART Account ID: 0008693 <br /> YOSEMITE AVE Facility ID: 000273 <br /> v KCAL{.#N, CA SS326 Permit Printed: 03/28/97 <br /> BILLING ADDRESS: ESCALON MINI MART <br /> 1097 YOSEMITE"_AVE <br /> ESC:ALON, CA95320 Y <br />