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SAN JO -*IN COUNTY PUBLIC HEALTH F—RVICES <br /> 304 E.WEBER AVE'. 1FURD FLOOR • STOCKTON,CA 95202 • PA$NE(209)468-3420 <br /> KAREN FORST,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 UNDERGRO"40 STORAGE TANK FACILITY <br /> Tank Tank Permit Annual Permit Fee Valid <br /> P/E umber Record IQ Number Capacity Contents Permit. Status From To <br /> 2350 005 TMOUS5 003045 12,ON Prem Unleaded 01 Active Permit. 01/01/98 12/31(58 <br /> ?350 004 TA506754 00046 12,000 Rea Unleaded 01 Active Permit 01.101/98 12/1-1/33 <br /> PERMIT CONDITIONS: <br /> 1) The PERMIT TO OPERATE will become void if ANKIAL PERMIT Fees and SERVICE Fees are not Paid and/or the UST systems) fails <br /> to remain in compliance with the PERMIT CONQITUOIS. <br /> 2) The PERMIT TO OPERATE is granted to the TANK WER 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 TANK OPERATOR(Si, if different from the tank owner, shall operate and monitor the UST system according to the MITTEN <br /> OPERATING AGREEMENT required under Section 25233, Chapter 6.7, Division 20, California Health and Safety Code. <br /> 4) The TA( LWR shall notify the Environmental Health Division of any proposed change in operation car ownership of the Uq1 <br /> system. <br /> 5) Upon any change in equipment, design or operation of this facility, the PERMIT TO OPERATE will -he reviewed by the <br /> Environmental Health Division. <br /> 6) A construction or removal permit is required frim the Environmental Health Division prior to any removal or <br /> change of UST system equipment. <br /> 71 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 MARKETING CO <br /> 71S BROADWAY AVE <br /> '_SACRAMENTO, CA 95=:i ;= <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> a'rn7 rriaY to SUSF'ENDED cr REVOKED f Cr caLlsc- . <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> REGULATED FACILITY, CIRCLE k: STORE #120S Account IQ; 0000184 <br /> 16470 CAMBRIDGE Facility ID; 000185 <br /> LATHROP, CA 95330 Permit Printed: 07/15/98 <br /> BILLING ADDRESS: CIRCLE K STORE #1205 <br /> ATTN; CIRCLE k' '=TORE= INC <br /> PO BOX 5:108S <br /> PHOENIX , AZ 85p72--,005 <br />