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SAN J041VN COUNTY PUBLIC HEALTH VICES <br /> P O Box 388 7 STOCKTON, CA 95201-0388 • PHON17"(209) 468-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA HERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> UPOWTING FAIT FW UNDER6ROUM STEW' 6E TAW.. FACILITY <br /> Tank Tank Permit Annual Permit Fee Valid <br /> P/E Number Record ID Number Capacity Contents Permit Stag From To <br /> 23110 001 TA107401 004679 10,000 Unleaded 01 Active Permit 01/01/% 12/31/96 <br /> 2380 002 TA107402 0000 10,000 Unleaded 01 Active Permit Of/01/36 12/31/96 <br /> 2380 00'"3 TA107403 0001 10,000 Unleaded 01 Active Permit 01/01/96 12/31/96 <br /> i <br /> PERMIT CONDITIONS: <br /> D The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and SERVICE Fees are ?tet paid and/or the UST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The- PERMIT ;0 OPERATE is granted to the TANK OWNER who 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, OPERATORS), if different from the tank owner, shall operate and monitor the UST system according to the WRITTEN <br /> j OPERATING AGREEMENT rewired under Section 25253, Chapter 6.7, Division 20, California Health and Safety Code. <br /> 4) The TAS NO shall notify the Environmental Health Division of any proposed change in operation or ownership of the UST <br /> systea. <br /> 5) Upon any change in equipment, design or operation of this facility, the PER14IT TO OPERATE will be reviewed by the <br /> Environmental Health Division. <br /> 6) A construction or removal Permit is required frog the Environmental Health Division prior to any rerioval 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 /> I ERtiIT TO OPERATE an UST FACILITY issued to; SOUTHLAND CORPORATION <br /> :3145 GOLD CAMP DR STE :300 <br /> RANCHO C:�RDOVA, CA 9SG70 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> THIS FURM MST BE DISPLAYED C0ICtdt1 ,..Y ON THE PREMISES <br /> REGULATED FACILITY: 7 ELEVEN STORE #20632 Account ID: 0003348 <br /> 4617 DAVINCI Facility ID, 002'41 <br /> TOCKTON, CA 9S207 Permit Printed, OS/02/96 <br /> BILLING ADDRESS: <br /> SOUTHLAND CORPORATION <br /> ATTN: BALDW i N, KATHLEEN <br /> PO BOX 71.1 <br /> DALLAS, TX 75204 <br />