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i r SAN JOTIN COUNTY PUBLIC HEALTH UVICES <br /> 304 E.WEBER AVE., IRD FLOOR • STOCKTON,CA 95202 E(209)468-3420 <br /> KAREN FURST,M.D.,M.P.H.,HEALTH OFFICER 1 <br /> DONNA HERAN,R.E.H.S.,DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> r <br /> ENVIRONMENTAL HEALTH <br /> . ATI IT FOR UMERGROUND STORAGE TAW FACILITY <br /> Tank Tank Permit Annual Permit Fee Valid <br /> P;`E Number Record ID Number Capacity Contents Permit Status From To <br /> 236th 003 TA140403 004248 12,ON) Unleaded 01 Active Permit 07128138 12,131/98 <br /> -) 004 TA140Q4 !�a4250 12,tJ�� Unleaded t?1 Active Permit 071?5138 12131138 <br /> �ti�h�; 005 TA140405 X14251 12,( s Unleaded (z1 Active Permit. (i71281'�: �1 12I311S8 <br /> PERMIT CONDITIONS: <br /> 1) The PERMIT TO CfFERATE will become void if ANNUAL PETIT Fees and SZRVICE Fees are rot paid and/or the Lri systems) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TAW, 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 Sari _roaquin County. <br /> 3� The TANK OF-RATOR(S), if different from the tank owner, shall operate and monitor the UST system according to th WRITTEN <br /> OPERATING AGREEMENT required under Section 25293, atapter 6.7. Division 20, California Health and Safety Cone. <br /> 4) The TANK OWNER shall notify the Environmental Health Division of any proposed charm In operation or ownersfidp 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 remo=val permit is required frons, the Environmental Health Division prior to any remioval or � <br /> change of trST 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 FACILITv issue to: C:US;TOMER CO, THE <br /> 44.57 PARK RD <br /> BENICIA, CA ''94SI i <br /> j <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENT`:; are NOT TRANSFERABLE <br /> and riia!y b+e SUSPE:NDED ,,,I.., RE'sf_-1 :.EL; fo--- rai-4se:' . <br /> THIS FORM K)ST BE DISPLAYED CI . LY ON THE PREMISES <br /> REGULATED FACILITY: MORE FOR LE':;'= #37 AcCountID: 0:02476 <br /> 15 E GRANT LINE_ RD Facility ID: (9)2915 <br /> TRACY . CA 99376 Permit Printer (08110198 <br /> SILUNG ADDRESS: MORE FOR LESS #37 <br /> ATTN : CONVENIENCE ACQUISITION N CO <br /> 32--:6 BRADSHAW RD <br /> SACRAMl=NTO, CA 9S827 �. <br /> 4 <br />