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SAN JOAqjW COUNTY PUBLIC HEALTH SVICES <br /> P O Box 388 ONNSTOCKTON, CA 95201-0388 • PHONE ) 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 /> i <br /> ENVIRONMENTAL HEALTH <br /> OPERATDM PERMIT FOR UNDERGMM STORAGE TANK FACILITY <br /> Tank Tank Permit Annual Permit Fee Valid <br /> P/E {fir Record'Il1 Number Capacity Contents Permit Status From To <br /> ``' `_' 001 TAWA7 008819 12,000 Unleaded 01 Active Permit 01/01157 12/31/91 <br /> 002 TA5064M 008820 12,000 Unleaded 01 Active Permit 01/31/97 121:31/91 4 <br /> FIERM I T CONDITIONS: <br /> ) Rim PERMIT TO OPERATE will become void if ANM& PERMIT 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 OM who accepts responsibility for operating and monitoring the UST systew <br /> according to State underground storm tank laws and regulations as well as any conditions established by San Joaquin Cnty.. <br /> 3) Re TAW OPERATOR(S), if different from to tank owner, shall operate and monitor the UST system according to the WRITTEN <br /> OPERATING AGREEMENT required under Section 25293, Chapter 5.7, Division 20, California Health and Safety Code. <br /> 4) The TANS; ON R shall notify the Environmental Health Division of any proposed change in operaidon or ownership oftheUST <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 /> Ervirormental Health Division. <br /> 5} A construction or rival permit is required from the Environmental Health Division prior to any removal or <br /> change of UST system equipment. <br /> F 7) This PERMIT TO OPERATE s� 1 not be considered permission to violate any existing laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> PERMIT TO OPERATE an UST FACILITY issued to: KHAN, R I AZ. <br /> 2039 E NINTH ST <br /> tiTOCKTON, CA 9S-206 <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 CONSPICWJSLY ON THE PREMISES <br />.`: REBATED FACILITY: EXXON GAS 8; FOOD BART Account ID,, 0002325 <br /> 43-7 .1 "N WILSON.WY Facility ID: 002: 13 <br /> Or KTDN, CA 9520S Permit Printed; 03/28/97 <br /> BILLING ADDRESS: EXXON GAS b FOOD MART <br /> ATTN: RIAZ, KHAN <br /> 437 N WILSON WAY <br /> STOC:kTCN, CA 9S20S <br />