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SAN JOA16TIN COUNTY PUBLIC HEALTH�VICES <br /> P O Box 388 SrocxToN, CA 95201-0388 • Peo ) 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 /> ENVMON MNTAL HEALTH <br /> E 'Eti*aTI" ' PERO.IT FL; t Et< ,'Q1, �E Trti�a� F€� rk_ITY <br /> Tank Tank Permit Annual Permit Fee Valid <br /> P.-E Number, Record ID Number Capacity Contents Permit Sia-us From To <br /> THN 001 TA.176101 005357 12,(A) Unlaaded 02 Conditional Permit 01/01/95 12/31/55 <br /> 2380 002 T4176102 005354 10,000 Nlleaded 02 Conditional Permit 011011'35 12/31/95 <br /> 2_sedi 003 TA176103 0053b0 io,o()O Unleaded 02 Conditional Permit 01;01195 12/3i/95 <br /> PERMIT CONDITIONS: <br /> 1) The PERMIT TO OPERATE will become 'void if ANNUAL PERMIT Fees and SERVICE Fees are not paid and/or the UST system(s) fails <br /> to remain in compliance 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 tank laws and regulations as well as any conditions established by San Joa-win County. <br /> 3) The TRNK OP IE if different from the tank owner, shall operate and monitor the UST system according to the WRITTEN <br /> OPERATING AGREEMENT required unjer Section 25293, Chapter 6.7, Division 20, California Health and Safety Code. <br /> 4) The TfK OWNER shall notify the Environmental Health Division of any proposed change in operation or ownership of the tIST <br /> system. <br /> 5) Upon any change in equipment, design or operation of this facility, the PERMIT TO CFERATE will bs 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 co <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 /> 8) A 'Conditional Permit" 5'ay be revoked if corrections are not completed by the detels) specified on inspection. <br /> # b # # <br /> PERMIT To OPERATE an UST FACILITY issued to, GIANNECHINI , ERNC'ST <br /> 4407 E WATERLOO"RD <br /> FID <br /> STOC.:Ti1N, CA 9S2(-)5 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> a-rid rray be SUSPENDED or REVOKED for cause . <br /> # a <br /> THIS FORM MUST pE DISpLAyED CDH@;-'ICH€; *-LY tN THE:. PREMISE'S <br /> # # # <br /> REG<AATED FA(ILITY; EF:NIE'= GENERAL _;TOIRE Account ID. 0004454 <br /> 4407 E WATERLOO RD Facility ID; 002::347 <br /> '=T1OCKTON , CA 95200 Permit Printed; 08/11 i_jS <br /> GILLIt2 ADDRESS; <br /> ERNIES GENERAL STORE <br /> ATTN: GIANNECHINI . EERNEST <br /> 4407 E WATERLOO RC) <br /> Ti_K:KTON, CA 95205 <br /> 0 0 <br />