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SAN JOAJW COUNTY PUBLIC HEALTHVICES <br /> P O Box 388 • Tocx�rox, CA 95201-0388 • PgorIE*19) 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 /> OFSMTING PERMIT FOR UNDERGROA M# STS' E: TAS. FACILTTY <br /> Tank Tank Permit. Annual Permit Fee Valid <br /> PIE 4ADer Record ID Number Capacity Contents Permit Status From TO <br /> 23n0 II*S - TASOSE 3n2 51400 Unleaded X31 Active Permit 01A/01/97 12/31/97 <br /> 2350 (A TAS0.56o84. (p�8227 5,000 Diesel 01 Active Permit /01/97 12/31197 <br /> 2380 004 TAS056K Otr3a'�3 10,00('1 Unlea # X01 Active Permit %C01197 12/31/97 <br /> PERMIT CONDITIONSi <br /> 1) The PERMIT TO OPERATE will become void if AN 1QAL PERMIT Fees and SERVICE Fees are not paid aril/or the UST system(s) falls <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPIATE is granted to the TANK OWNER who accts-s responsibility for rain a; n +caringhUST system <br /> according to State underground storage tank laws and re dations as tell as any conditions established by >an Joaquin County. <br /> 3) The TANK O-PERATOR(s), if different from the tarp owner, shall operate and monitor the UST systems according to tbe WRITTEN <br /> OPERATIt46 AGREEMENT required under Section 25293, Chapter 5.7, Division 20, California Health and Safety Code. <br /> 4) The TANK, OWNER shall notify the- Environmental Health Division of any proposed change in operation or ownership of the IYST <br /> system. <br /> S) Upon any Ojange in equipment, design or operation of this facility: the PERMIT TO OPERATE will be rF iewz by the <br /> Environmental Health Division. <br /> b) A construction or removal permit is required from the Environmental Health. Division prior to any removal or <br /> -change of UST system equip cent. <br /> 7) This PERMIT Tn OPERATE shall not be considered permission to violate any existing laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> # <br /> PER-MIT To OPERATE an UST FACILITY issued to! AYE L,F;, ,AMI <br /> 700 ST JUDE LANE <br /> ,RIPON, CA 9S366 <br /> PERMIT' TC! OPERATE I E . and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and €ay be SUSPENDED or RE'V'OKED for cause. <br /> THIS FOW MIST BE DISPLAYM E` I O" 1-Y ON THE PREMISES <br /> REGULATED FACI?ITY; C:i st.3h��'RY`:-:;I f�F_ MINI MART Acc±�?nt sD; tu�tlsn <br /> 71 N HWY Gia Facility ID; OW540 <br /> l..00I , CA 9S240 Permit Printe"l; 04107/97 <br /> B11:ltG ADDRESS H C:C3t_NT`I-"'S' MINT MART <br /> 14971 sal WY 88 <br />