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SAN J04BM COUNTY PUBLIC HEALTHIMRVICES <br /> P O Box 388 STOCKTON, CA 95201-0388 • PHOr209) 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 /> OFERATING PERNIT F6R U44DERGROUND STORAGE TAW F=ACILITY <br /> Tank Tank Permit Annual Permit Fee Valid <br /> P/E Number — —Record 10 ber Capacity Contents Per�,it Status <br /> I+ From To <br /> 2380 001 TA23S101 004872 10,000 Unleaded 01 Active Permit 01 1/%. 12!31/96 <br /> 2380 042 TA235302 004873 10,000 Unleaded 01 Active Pertit- 01/01/'.. 12/31/96 <br /> 2380 003 TA23S303 (YJ7488 10,000 Unleaded 01 Active Permit 01/01/96 12/31/96 <br /> PERMIT CONDITIONS: <br /> 1) The PERMIT TO OPERATE will become void if AIS 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 TANK DAR +hut accepts responsibility for operating and monitoring the LIST system <br /> according to State underground storage tank laws and regulations as well as any conditions established by San Jomin County. <br /> 3) The TAP, TERATOR(S), if different from the tank owner, shall operate and monitor the UST system according to the WRITTEN <br /> OPERRATING AGREEMENT rewired under Section 25293. Chapter 6.7, Division 20, California Health and Safety Code. <br /> 4) The TANK* OVER 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 coerat.ion 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 OPERATE an UST FACILITY issued to: CARD ZA, ED <br /> 183 N MAIN ST <br /> MANTECA, CA 9S336 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause , <br /> THIS FEM MUST BE 019"YED CONSPICMJSI-Y019" ON THE PREhISES <br /> REGULATED FACILITY; 'TWO GUYc,:.; Account ID: 0003:374 <br /> 147 E L.A T HFtOP Facility ID: 003789 <br /> L.ATHPOP, CA 95320 Permit Printed: 05/02/96 <br /> BILLING ADDRESS: <br /> TWO GUYS <br /> ATTN: ED C:ARDOZA <br /> PO BOX 1022 <br /> MANTECA, CA 95336 <br />