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SAN J� COUNTY PUBLIC HEAL CES <br /> P O Box 3 tOCHTON, CA 95201-0388 • PEOW limn 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 /> ENVIRONMENTAL HEALTH <br /> CF01ATING PERMIT FOR UMERSWkM STCRAEk TAIL. FACILITY <br /> Tank Tank Permit Annual Permit Fee Valid <br /> PiE Number Record ID Number Cocity Contents Permit Status From To <br /> 2,a 002 A141302 44.32 10,000 Unleaded 01 Active Permit 01./01/95 12/31/95 <br /> 23611 003 TA141303 004433 10,000 Unleaded 01 Active Permit 01/016S 121131(95 <br /> PERMIT CONDITIONS: <br /> 1) The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees all SERVICE Fees are not paid andior the LAST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERt'IT TO OPERATE is granted to the TAPK NO who accepts responsibility for operating and monitoring the UST system <br /> according to State underground storm tank laws and regulations as well as any conditions established by San Joaquin Canty. <br /> 3) The TANS, ATOR(S), if different from the tank oar, shall operate and monitor the UST system according to the WRITTEN <br /> OPERATING AGREEMENT required under Section 25293, Chapter 6.7, Division 20, California Health and Safety Com. <br /> 4) The TANK OAR shall notify the Environmental Health Division of any proposed change in operation or ownership of the LIST <br /> E system. <br /> S) 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 t* 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, QI; I K STOP MARKETS INC: <br /> PO BOX 5745 <br /> FREMONT, CA 94S37 <br /> 7 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> THIS FORM MST BE DISPLAYED CONSPICUOUSLY CIS THE PREMISES <br /> REGULATED FACILITY, €;IIP': STOP MARKETEC; 138 Accent IC, <br /> 115:3 LINCOLN Facility ID, (.')031*---'2 <br /> TRACY, CA 95:376 75 Permit Printed, 08/11 /95 <br /> BILLING ADDRESS; <br /> QU I K STOP MARKETS 138 <br /> ATTN, c:U I K STOP MARKETS INC <br /> F'i't BOX 5745 <br /> FREMONT, CA 94637 <br />