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SAN JOAQ COUNTY PUBLIC HEALTH S CES <br /> 304 E.WEBER AVE.,T FLOOR • S`l"OCKTON,CA 95202 • PHW(209)468-3420 <br /> KAREN FURsT,M.D.,M.P.H.,HEALTH OFFICER <br /> DONNA HERAN,R.E.H.S.,DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> OPERATING PERMIT FOR UNDERGROUND STORAGE TANK FACILITY <br /> ,_ Annual Permit. Fee Valid <br /> Tank Tank Permit <br /> y <br /> Fe 4tFrom TO <br /> nir a <br /> dulter Record I1 JlF �i <br /> gl;�l,) ` _-I 1i00q1 Active Permit T1S�5; t l <br /> :?; t�;5 TA5g5E:3 t?t►3131 q,� x? Unleaded 01 Active f'ersr:it. ili.•'Ili�' i21�;11 'a <br /> PERMIT CONDITIONS: <br /> 1) The PERMIT TO OPERATE will become Void if AMIAL PERMIT Fees and SERVICE Fees are not paid and/or the U3T systems) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) Te PERMIT TO OPERATE is granted to ttie TANS. OWNER 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 joaguiri County. <br /> ^) The TANK �:!PERATOR(S)+ if different from the tank Owner, stt ll operate and monitor the MT system according to t e WRITTEN <br /> OPERATING AGREEMENT required under Section 25253, (timer S.?, Division 20, California Health and Safety Code. <br /> L-7 <br /> T{ TAMC OWNER shall notify the Elivil�+flmeflt•al ea,th EIiViSii+n of any proposed change in t i'at•iC+n or +wTlerS�iip C+i the Lr:--,T <br /> system. <br /> S) lipon any change in equipment, design or operation of this facility, the PERMIT TO OPERATE will tie reviewed by the <br /> Environmental Health Division. <br /> 6) A construction or removal Permit is regjired from the Environmental Health Division prior to any removal or <br /> change of UST system equipment. <br /> 7) This PERMIT TO OVERATE shall ni_+i. be considered permission t•o violat•e anye�isting laws, Ordinances or statutes of other <br /> federal, state or local agencies. <br /> PERMIT TO �sPERATE an UST FACILITY issuni to; E � STOP t��F' hi I i�I MART <br /> GS5 _ C:!�Sf;NELL DR <br /> TURL <br /> PERMIT`:-:" TO OPERATE and ANNUAL PERMIT FEE PAYMENT-' a r e NOT TRAM FERABLE <br /> a-nd sils!y t-e 'µ;t_s:-FENDED or REVOKED for Cause. <br /> THIS; F0744, MUST BE DISMAYED ICUOUSLY ON THE PREMISES <br /> REGULATED FACILITY, E—Z STOP MINI MART Account 10; 0147277 <br /> 1605" `v EL DORADO Facility ID; 006185 <br /> STOCKTON, CA 9S206 Permit Printed; 04/2619P, <br /> BILLING ADDRESS; GREWAL, KARAM,.�I T S <br /> 1 E-05 S EL D0RADC) `3T <br /> -,TOC:KTs-N, CA 95206 <br /> a <br />