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3 z <br /> SAN JOAMIN COUNTY PUBLIC HEALTH $VICES <br /> P O Box 388 VW STOCKTON, CA 95201-0388 • PHONE � 09) 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 PERMIT FOR UNDERGROUND STORAGE TANK FACILITY <br /> Tani; Tarn Permit Annual Permit Fee Valid <br /> P/E Nuker Record ICI Nor Capacity Contents Permit Statin From To <br /> 27390 WS TAS0%K3 00516 S,ON Unleaded 01 Active Permit. 01/01196 12/31/% <br /> 2330 OOS TASO5- 84 (0227 5,000 Diesel 01 Active Permit 01/01/136 12/31/9€ <br /> 2 M4 TA5055S2 009223 10,000 Unleaded O1 Act•ive Perrffit 01/01/95 12/31/95 <br /> PERMIT CONDITIONS; <br /> 1) 'he PERMIT TO OPERATE will become void if AWCAL PERMIT Fees and SERVICE Fees are riot paid and/car the U`_1' system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) T.he PERMIT TO OPERATE is granted to the TANK LV ER who accepts responsibility for operating and monitoring tte DIST system <br /> according to State undergrcund storage tank laws and regulations as well as any conditions established by Son Joaquin Cco nt.y. <br /> The TANK OPERATOR(S), if different from the tank owner, shall operate and Monitor the 1.r.T system according to the WRITTEN <br /> OPERATING AGREEMENT required under Section 25293, Chapter 6.7, Division 20, California Health and Safety Cade. <br /> 4) The TANK OWNER shall ratify the Environmental Health Division of any proposed change in operation or ownership of the UST <br /> 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 /> 5) A construction or removal permit is -required from the Environmental Health Division prior to any removal or <br /> change of V-T system equipment. <br /> 7) This PERMIT TO OVERATE st:all not be considered permission to violate any existing laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> i <br /> PERfr!IT TO OPERATE an UST FACILITY is=sued to; AYE*_=H, SAKI <br /> 700 ST JUDE LANE <br /> RIPON, CA 9S366 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> THIS T BE DISPLAYED 'PIC M-Y ON TtE PREMISES <br /> RE&ILATED FACILITY, C:CIUNTRY:S I DE MINI MART Hccount. IN 00005319 <br /> 1.4971 N HWY E,-81 Facility 10: 000-S40 <br /> _+ <br /> L+=SDI , CA 9S240 Permit Printed, (.:)5/02/96 <br /> BILLING ADOW.3S: <br /> C:iW1t.NTRYS I DE MINI MART <br /> ATTN t COUNTRYSIDE MINI MART <br /> 14971 N HWY 88 <br /> LOD I , CA 9 3224 0 <br />