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SAN JOA* COUNTY PUBLIC HEALTH SUMVICES <br /> P O Box 388 • S rocKrorl, CA 95201-0385 • 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 /> ENVIRONMENTAL HEALTH <br /> OPERATING SIT FOR UNDERGROUND`STORAGE TAW FACILITY <br /> Tank Tank Permit Annual Permit Fee Valid <br /> PIC Number Record M Number Capacity Contents Permit Status Fria To <br /> 23M 001 TAIS7401 005042 10,000 Diesel 02 Conditional Permi 01101197 12/31/97 <br /> 2380 002 TAIS7402 OOS043 6,000 Unleaded 02 Conditional Permit 01/01/97 12/91/97 <br /> 2380 003 TA157403 005044 61000 Unleaded 02 Conditional Permit 01/01197 12/31/91 <br /> PERMIT CONDITIONSi <br /> 1) The PERMIT TO UWTE will become void if ANNUAL PERMIT Fees and SERVICE Fees are not paid anti/or the UST system(s) fails <br /> to remain in ccepliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the Tom`: LAR 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 Canty. <br /> 1) The TAW MERATOR(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 Health and Safety Code. <br /> 4) The TAW NO shall notify the Environmental Health Division of any proposed change in operation or ownership 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 removal Permit is required from t=ie Environmental Health Division prior 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 /> 8) A 'Conditional Permits may be revoked if corrections are not completed by the date(s) specified on inspection. <br /> PERMIT TO OPERATE an UST FACILITY issued to; GREWALS GAS & L I QU R <br /> 4100 E FREMONT ST <br /> ;:,TOCK T CSN, CA 96 os <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS a r~e NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> TNI . FORM MUST BE DISPLAYED I 'Y ON 71HE PREMISES <br /> REGULATED FACILITY. GREWAL'S CA I LIQUOR* Account ID, 0002131 <br /> `-j facility ID: 002123 <br /> 771RKTON, CA -3620S, Permit Printed; 03/28/97 <br /> BILLING ADDRESS; GREWAL ' S GAS & LIQUOR* <br /> ATTN' GRFWAL, BALBIR <br /> 4100 E F REMONT ST <br /> STOCKTON, CA 95205 <br />