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SAN JOAWON COUNTY PUBLIC HEALTH&CES <br />P O Box 388 TOCHTON, CA 95201-0388 • PHO t,, ) 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 F(IR UMERGRMM STCRAGE TAW FACILITY <br />Tank Tari Permit Annual Permit Fee Valid <br />PIE Mier Record 10 Number Laacity Contents Permit Status From TO <br />001 smi 00645 1,565 Other 02 Conditional Permit 01101/97 12/31/97 <br />PERMIT CONDITIONS: <br />1') The PERMIT TO OPERATE will become void if WAR PERMIT Fees and SERVICE Fees are not paid and/or the LIST system(s) fails <br />to ruin in compliance with the PERMIT CONDITIONS. <br />2) The EMIT TO OPERATE is granted to the TAW NO who accepts responsibility for operating and monitoring the UST system <br />according to State underground storage tank laws and regulations as well as any conditions established by San Joaquin County. <br />3) The TAW !IMTOR(S), if different from the tank owner, shall aerate and monitor the UST system according to the WRITTEN <br />�FMTING AVEEMENT required wider Section 25293, Chapter 6.7, Division 20, California Health and Safety Code. K <br />4) The TK OWNER shall notify the Environmental Health Division of any proposed change in operation or ownership of the UST <br />system. <br />5) Uponany change in equipment, design or gyration of this facility, the PERMIT TO OPERATE will be reviewed by the <br />Environmental Health Division. <br />6) A tcmtruction or removal permit is required from the Environmental Health Division prior to any removal or <br />thange of UST system equipment. <br />), 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 />°.8) A 'Conditional Permit" may be revoked if corrections are not completed by the date(s) specified on inspection. <br />PEMIT TO OPERATE an (FT FACILITY issued to, 4)ALMART, INC: <br />702 SW EIGHTH ST <br />BENTONV I LLE , AK 72716 <br />PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />THIS FORM MMT BE DISF"YM CONSPICVC)SLY ON THE PREMISES <br />REUATEO FACILITY: WALM°MAF T 'r'�TORE #2025 Account ID.- 0004292 <br />;; W G'RANT'!LiAea Facility IN 004548 <br />TRACY, CA 95376 Permit Printed: 03128!97 <br />BILLING AWSS. WALMART STORE #2025 <br />A T TN ,, DIANE GRAY , TAX DEPT <br />DEPT 8013 <br />BENTONV I LLE , AR .72716-8013 <br />s. <br />