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SAN JO! JIN COUNTY PUBLIC HEALTH -RVICES <br /> P O Box 388 a SrocrcroN, CA 95201-0388 • PnoNE (209) 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 /> L, EHAT:IN& PERMIT FOR L*IDERGROUND STORAGE TANK FACILITY <br /> Tan Tank Permit Annual Perii!it Fee <br /> F' F Number Record IC Naber Capacity Contents PErmit Status From To <br /> - 80 00 T, 18:H01 o-OWS 2,89 !Unleaded 02 -ndltienai Permit U 1. 1-77' . <br /> `v 1304 TA1804 oos584 6,o0o lMleade] 02 Conditional Permit 014165 12!31r45 <br /> 00S TA18%05 NS590 500 02 Conditional Permit 01/01/45 12/31/4r <br /> PERMIT CONDITIONS: <br /> ii The PERMIT TO OPERATE will become void if AtAUAL PERMIT Fees and SERVICE Fees are not paid and/or the 6T systen(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> The PERMIT TO OPERME is granted to the TANK. OWER 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 Carnty. <br /> 3) The TMK OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system according to the WRITTEN <br /> OPERATING AffEMENT required under Section 25243, Chapter 6.1, Division 20, California Health and Safety Code. <br /> »' Trie TAN( iFQWR shall notify the Environmental Health Division of any proposed change in operation or ownership of the UST <br /> system. <br /> 5) Upon any charms in equipment, design or operation of this facility, the PERMIT TO OPERATE will t%e reviewed by the <br /> Environmental Health Division. <br /> 6) A construction or removal permit is required from the Envirorwientai Health Division prior to any removal or <br /> change of UST system equipment. <br /> 7) This PERMIT 10 CI'ERATE shall not be considered permission to violate any existing 'ams; ordinances or statutes of oft_^ <br /> federal, state or local agencies. <br /> 6) A "Conditional Permit" may to revoked if corrections are not completed by the dates) specified on irispection. <br /> PEERMIT TO OPERATE an UST FACILITY Issued to: C:HO_LDHAR`r`, Al EEM <br /> 637 KAGLE OR <br /> WEST' cLACRAMENTO, CA <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause . <br /> THIS: FORM MUST BE DISPLAYED CONSPICUDt1SLY ON THE PREMISE <br /> 4 N k <br /> REGULATED FACILITY; QUICK N '_AVE MARKET AND GA_ Account 10: 0007860 <br /> 541 E CHARTER WAY Facility ID: 00"4135 <br /> STOC:k::TON, CA '35200, Permit Printed: 08/1 1-/13-5 <br /> BILLING �'�tESS; <br /> QUICK N SAVE MARI':ET AND GAC: <br /> ATTN ; QUICK N :.AVE MARI':ET AND GAS541 E CHARTER WAY <br /> STOCK:TON, CA '-4S206 <br />