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SAN JOAN COUNTY PUBLIC HEALTH SFVICES <br /> 304 E.WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 • P (209)468-3420 <br /> v <br /> KAREN FURST, M.D., M.P.H., HEALTH OFFICER <br /> DONNA HERRN,R.E.H.S.,DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> OFI�MTING PERMIT FOR L44DERGRMM STORAGE TAW FACILITY <br /> Tank Ta4e. Permit Annual Permit Fee Valid <br /> P/E Number Record ID Number Capacity Contents Permit Status From To <br /> 2360 05 TA507944 M9416 12,E Reg Unleaded 01 Active Permit 01/01/99 12131/99 <br /> 2350 05 TA937945 0094.17 5,000 Prem Unleaded 01 Active Permit 01/01/99 12/31/99 <br /> 2,V0 07 TA507946 009418 5=000 Diesel 01 Active Permit. 01/01/99 12/31/99 <br /> PERMIT CONDITIONS; <br /> 1) The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and SERVICE Fees are not paid and/or the 1ST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE'is granted to the TANK OWNER who accepts responsibility for operating and monitoring the UST system <br /> according to State und4rground storage tank laws and regulations as well as any conditions established by Sar, Jamin County, , <br /> 3) The TANK OPERATOR(S), if different from the tarp 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 TANK OAR shall notify the Environmental Health Division of any proposed change in operation or ownership of the UST <br /> system. <br /> 5:I Upon any change in equipment, design or aeration of this facility, the PERMIT TO OPERATE will be reviewed by the <br /> Environmental Health Division. <br /> 5) A construction or removal permit is re-;uired from the Environmental Health Division prior to any removal or <br /> change of UST system equipment. <br /> 7) This PERMIT TO OPERATE shall rat 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; GREDIALS GAS b LIQUOR <br /> 4100 E FREMONT ST <br /> STOCKTON, CA 9S205 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and rut ty be SUSPENDED �=t REVOKED f=�=r c aus e. <br /> THIS% FORM MUST BE DISPLAYED SIC- LY O1 TW PREMISES <br /> REGULATED FACILITY: GREWAL ' S GAS & LIQUOR* Account IDS 0002131 <br /> 4100 E FREMONT ST Facility ID; 0021:3 <br /> STOC:KTON, CA '520S~ Permit Printed: 04/26/9'i <br /> BILLING ADDRESS.t GRE41AL 'S GAS b L I Qt,lOR* <br /> ATTN: GREWAL, RICK <br /> 4100 E FREMONT ST <br /> ':;TOC: ::TI=N , CA 99205 <br />