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SAN JOjjjJIN COUNTY PUBLIC HEALRVICES <br /> P O Box 388 STOCHTON, CA 95201-0388 * PHO'H6 <br /> 468-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DOMA, RAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> /`�,�"'tz ENVIRONMENTAL HEALTH <br /> OPOIATING PERMIT FOR LERGROUND STORAGE TAW FACILITY <br /> Tangy: Tank Permit Annual Permit Fee valid <br /> PtE ? ter Record ID Number C=apacity Contents Permit Status From To <br /> '�- _ 0i I TA?2570! 004459 10,000 1Jnleaded 01 Active Permit 0It0165 12131195 <br /> 2, 0+12 . TA-72S702 , 004460 10,000 Unleaded Active Permit 01/0165 12131/33 <br /> 2380 00x`! TA2257f►3 ° 004461 5,000 Unleaded 01 Active Permit 01/01195 12131/195 <br /> P5kM I T CEN15I T I ONS; :..: .. <br /> 1) The PERMIT TO OPERATE will ' yui$ "f A k L PE NIT Fees and SERVICE F40—`jare riot paid and/or the LIST system(s) fails <br /> 2Atpp, remain A'l. lial?ce with "PERMIT Cy?PIUITIt . <br /> .- PER";IT TO OPERATE is granted to the TANK OWER who accepts responsit ilx�;' tor operating and monitorivo, the UST system <br /> a Wring til`tate underground storage tank laws and regulations as well as any cond.tion%established by San Joaquin CoLnty. <br /> 2 TANK 4 . TCR(S), if different from the tank owner, shall operate and,, ;fir the UST system according to the WRITTEN <br /> OPERATINGIMMENT required under Section 25293, Chapter 6.7,r Qivistoft , Citi;vrnia #iealtF, and Safety Code. <br /> 4) Jhe TANK s3 E� shall notify the Environmental Health Divi5aon-'of any proposed change in operation or ownership of the lRST <br /> S) t)Oon #ny change in equipment,, gn or operation of this facility, the PE T Ti+ CMATE will be reviewed by the <br /> Vironskkn slHealth Division. <br /> 6)--*construct an cir removal Permit is required from the Environmental Health ior prior to any remceval or <br /> ,dim pf COsystem equipment. <br /> 7) This PERNI,I~ OPERATE shall raft be considered permission to violate any er s� ? laws, ordinance or statutes of other <br /> federal, stake or local agencies. <br /> kr <br /> FE�iIT TO OPERATE ars UST FACILITY issued to-, QU I K 'STOP MARKETS <br /> PO BOX 5745 <br /> FREMON ! , CA 94537 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> z `' and may be SUSPENDED or REVOKED for cause. <br /> THIS FORM K)ST BE D I SPLAYED 00ibISPICUOUSLY ON THE FSM I SES <br /> REGULATED FACILITY,, {fit 3I t:: STOP MARKET #148 Account I0; 000066 <br /> 265 W LOCKEFORD ST Facility I0,. 000 670 <br /> =, <br /> LOD I , CA 55240 Permit Printedi 9 <br /> BILLING ;CRESS; <br /> QU I K STOP MARKET #148 <br /> A TN : Q`U I K STOP MARKET" <br /> PO BOX c745 <br /> FREMONT ; CA 945,"7 <br />