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SAN JOS" [IN COUNTY PUBLIC HEALTHk" VICES <br /> 304 E. WEBER AVE., i HIRD FLOOR • STOCKTON,CA 95202 • PHONE(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 /> L-ffMTIW3 PERMIT HER, t. ER -.#4D STORAGE TAW FACILITY <br /> Tank Tank Permit. Annual Permit Fee Vali' <br /> P/E Number Record In Number Car--acity Contents Permit. Status From To <br /> :,.,64 44i TA546546 403949 24,(104 Diesel 41 Active Permit (i1/41iq—, 12/ 1l'aa <br /> PERMIT CONDITIONS! <br /> 1) The PERMIT TO OPERATE will become void if ANtdt► L PERMIT Fees and SERVICE Fees are riot paid and/or the iJST =_.ystem(s) fails <br /> to remain in cCgfpliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TANK OWNER who accepts responsibility for operating and monitoring the UST System <br /> according to State underground storage ta-4, laws and regulations as we'll as any conditions established by San Joaquin County. <br /> 3) The TAW OPERATOR(S), if different from the tank owner, shall operate and winitor• the LIST system according to the VRITTEN <br /> CIPERATING AcaREEMEN? required under. Section 25293, Chapter 6.7, Division 24, California Health and 'Safety Code. <br /> 4} The TANK V- 4ER stall notify the Envirorg(tental Health Division of any proposed change in oper•at.ion or ownership, of the Lr:--'.T <br /> cystem. <br /> C,) Upon any change in equipment, design or operation of this facility; the PERMIT TO OPERATE will be reviewed by the <br /> EnviroTl'•ental Health Division,. <br /> 6) A construction or removal permit 15 required from the Environmental Health Division prior to any removal or <br /> change of VST system equipment. <br /> 1.1 This PERMIT TO OPERATE stall nC{t. be considered erft�is5lon to violate any erisfi.ir�? lams, ordinances _+r Statutes of ot!�er <br /> federal, state or local agencies. <br /> PERMIT TO OPERATE an UST FACILITY issued to; COUNTRY MARKETPLACE <br /> 178'3 W CHARTER WY <br /> =,TML:}:::TON, CA S IIF. <br /> PERMITS TO OPERATE zaril� ANNUAL. PERMIT FEE PAYMENT' ' NOT TRA'•SFERAOLE <br /> 1'li ri1.i V �DN SUSPENDED f-,'r R.E V *--..E.V f+ii' C <br /> ¢ MUST Y� g- <br /> SEE <br /> ED ON THE <br /> # # <br /> RE91LATECI FACILITY; ULTRA EXPRESS, TF;UC:k:: IiJA'=H Account ID. 4011647 <br /> 15224 FRE:°=!`O AVE Facility ilii 447491 <br /> ;Ts.-sr}:::7O}a . {:n 3S (;,_: Permit Printed) '04/26/99 <br /> BILLING ADORES^; ULTRA F----X PRE'E S TR'R_;C:K I,0 ASH <br /> ATTN : RAM t T!-I , t'IAR:4 <br /> i 5 24 FRE'-;NO AVE <br /> C-,TOC*T1 N . (:A 45'.20G <br />