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SAN JOArv1IN COUNTY PUBLIC HEALTH S"RVICES <br /> 304 E.WEBER AVE.,*rvdRD FLOOR • STOCKTON,CA 95202 • Pft mot(209)468-3420 <br /> KAREN FURST,M.D.,M.P.H.,HEALTH OFFICER <br /> DONNA HERRN,R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> c*MMATING PERMIT FUDR U94DERGROUND STORAGE TANK FACILITY <br /> Tari Tardy r, ..refffilt Annual Permit Fee Valid <br /> PIE Number Record ID Number Ca atity Contents Permit Status From To <br /> 2360 Oris TA506 55 OCIE 12,000 Prem Unleaded UI Active Permit 01/01199 12/31/99 <br /> 2360 004 TAM754 009046 12,000 Reg Unleaded Oi Active Permit 01/01/99 12/31/99 <br /> PERMIT CONDITIONS; <br /> I The PERMIT TO OPERATE will become void if AM4.IAL PERMIT Fees and SERVICE Fees are not paid ardor- the UST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 21) The PERMIT TO OPERATE is granted to the TAW OWNER who accepts responsibility for operating and monitorirr3 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 TANK OPERAT69(S), if different from the tank.. owner, shall operate and monitor the LIST system according to the WRITTEN <br /> OPERATING AGREEMENT required under Section 25293, Chapter 6.7, Division 20, California Health and Safety Code. <br /> 4) The TAM; OWNER shall notify the Environmental Health Division of any proposed change in operation or ownership of the UST <br /> System. <br /> 5) Llpon any charge in equipment, design or operation of this facility, tte 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; TOSCO MARK:ETIN6 C:O <br /> 76 BROADWAY AVE <br /> SACRAMENTO, CA 958'18 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may he ';,'U'PENDED c,r REVOKED f c-r cause . <br /> THIS F" MUST BE DISPLAYED CDNSPICUMISLY ON THE PREMISES <br /> REGULATED FACILITY; CIRCLE K =TORE #12:,05 Account ID; (x0001$4 <br /> 16470 CAMBRIDGE Facility ID, 000185 <br /> LATHROP . CA 95330 Permit Printed; 04/26/99 <br /> BILLING ADDRESS; CIRCLE K STORE #1205 <br /> ATTN : CIRCLE K: STORES INC <br /> PO BOX 5208.5 <br /> PHOENIX . AZ 0,5072-2085 <br /> 1 <br />