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SAN J040M COUNTY PUBLIC HEALTHSRVICES <br /> P O Box 388 MW STOCHTON, CA 95201-0388 • PHo (209) 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 /> k <br /> ENVIRONMENTAL HEALTH <br /> OPERATING FSR tiII I` FOR W)EGROUM STORAGE TAIW FACILITY <br /> Tank Tank Permit Annual Permit Fee Valid <br /> P/E Number Record ID Number Capacity Contents Permit Status From To <br /> M 00, TA107401 004679 10,000 eaded 01 Active Permit ---Tl-/-O]795 <br /> 2380 002 TA107402 404650 10,(" Unleaded 01 Active Permit 01/01/96 12/31/96 <br /> 2350 003 TA107403 004681 10,000 Unleaded 01 Active Permit 01/01/36 12/31/95 <br /> PERMIT CONDITIONS: <br /> 1) The PERMIT TO OPERATE will become void if ANNW PERMIT Fees and SERVICE fees are not paid and/or the lJST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TAMC SER who accepts responsibility for operatiiig 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 TAMC OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system according to the WRITTEN <br /> OPERATING AGREEMENT required under Section 25293, Chapter 6.7, Division 20, California Wealth and Safety Cele. <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 /> 6) Upon any change in equipment, design or operation of this facility, the PERMIT TO OPERATE will t* reviewed by the <br /> Environmental Health Division. <br /> 6) A construction or rewval permit is required fro the Environmental Health Division pricer to any removal 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 /> PERMIT TO OPERATE an UST FACILITY issued to: SOUTHLAND CORPORATION <br /> 3146 GOLD CAMP DR S TE 300 <br /> RANCHO CORDOVA, CA 9 670 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may use SUSPENDED or REVOKED for c acus e. <br /> THIS F T BE DISPLAYED CONSPICWJSLY ON THE: PREMISES <br /> REGULATED FACILITY: 7 ELEVEN STORE #20632 Account ID: 0003348 <br /> 4627 DAVINCI Facility ID: 002541 <br /> E:TOC:W:TON, CA 95207 Permit Printed: 08/11/95 <br /> SICCING ADDRESS. <br /> S UTHLAND CORPORATION <br /> 3146 GOLD CAMP DR STE :300 <br /> R'ANC'HO CORDOVA, CA 99670 <br />