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SAN JO#UIN COUNTY PUBLIC HEALTHWVICES <br /> 304 E.WEBER AVE., IRD FLOOR • STOCKTON,CA 95202E(209)468-3420 <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 /> OPERATING PERMIT FOR UNDERGROUND STORAGE TANK FACILITY <br /> Tank Tara Permit Annual Permit Fee Valid <br /> PIE Number Record ID Number Capacity Contents Permit Status From To <br /> 2*--V. 002 TA182002 005055 20,000 Diesel 01 Active Permit 01/01/99 12/31/99 <br /> PERMIT CONDITIONS: <br /> 1) The PERMIT TO OPERATE will become void if NNt1At. PERMIT Fees and SERVICE Fees are not paid and/or the UST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TAC OWNER who accepts responsibility for operating and rip-initoring the (JrST system <br /> according to State underground storage tank laws and regulations as well as any conditions established by San Joaquin County. <br /> 3) The TANS 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 N, California Health and Safety Code. <br /> 4) The TA( OWNER 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 the 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 /> PERMIT TO GRATE an UST FACILITY issued to., CERTIFIED GROCERS OF CA <br /> Sic 0 E SJH I ELA SST <br /> LOS ANGELES, CA 90040 <br /> 40 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> arra may be SUSPENDED or REVOKED for cause. <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> REDULATED FACILITY: CERTIFIED GROCERS OF CALIF Account ID, 0003414 <br /> 1990 N PIC:COLI RD Facility 10; 00382E <br /> STOCKTON, CA 9S20S Permit Printed; 04/28/99 <br /> BILLING ADDRESS: CERTIFIED GROCERS OF CALIF <br /> ATTN: ENVIR HEALTH It S=AFETY/S, S TEIN <br /> 5-200 SHEILA ST <br /> LCIS. ANGELES , CA 900 40 <br />