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SAN JUIN COUNTY PUBLIC HEALTI*RVICES <br /> P O BOX 388 • STOCKTON, CA 95201-0388 • PHONE (209) 468-3420 <br /> ERNEST M. FUHMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA RERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> ?d to FZRHI.T FLR %PEt GR,"0jND STORWGE. TAX. FACILITY <br /> Tank Tank Permit Annual Permit Fee Valid <br /> P/E Njutber Record 1D Nut^b'r Capacity Contents _ Permtt Status From <br /> To <br /> 23$0 001 TOW O%q)s 10,000 Lh?leaded OZ Conditional perwdt. — 61/01/97 12!31197 <br /> d1W N2 TAPlYi02 007527 10,'NO Unleaded 02 Ccrj.itional Permit 01/01197 12/31/97 <br /> PERMIT CONDITIONS ; <br /> I) The PERMIT TO OPERATE €iii become void if ANNUAL PErOIT Fees and SPNICE Fees are not paid andior the t>eT systems) fails <br /> to remain in corpliance with the PERMIT CINDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TANK. W1 0. who accepts responsibility for operating and monitoring the UST system <br /> according to State undergrouxi storage tank laws and regulations as well as any conditions established by San Joaquin CGntti. <br /> 3) rte TAW CPERATORC3%, if different from the tank owner, shall operate and monitor the UST =,ystem accordion to the 4'RITTEN <br /> OPERATI43 ASREPIENIT required under Section 25293, Chapter 5.7, Division 20, California Health and Safety Code. <br /> 4) The TOOK OWNER shall notify iha EnvircmTaental Health Division of any proposed change in operation or ownerstup of the- LGT <br /> system. <br /> S) Upon any change in ea_Iipment, design or operation of this facility, the PERMIT TO OVERATE will be reviewed Fey the <br /> Environmental Health Division. <br /> 5 A construction or removal permit is required from the Enviromfental Health Division prior to any Tc�I,oval or <br /> change of UST system equipment. <br /> 7i This PERMIT TO OPERATE shall not tie considered Permission to violate any existiTo laws, ordinaxes or statute=_ of other <br /> federal, state or local agencies. <br /> 8) A ''Cunaitional Permit` may be revoked if corrections are not ccipieted by the dat.e(s) specified on inspection. <br /> PERMIT TO OPERATE an UST FACILITY issued to MATHARU, PARMJEET <br /> SE,:=< SIGNAL PEAk, CT <br /> STOCKTON, CA 3521 > <br /> PFRMTTS TO OPERATE a.nd ANNUAL PERMIT FEE PAYtIENTS a.-re NOT TRANSFERABLE <br /> and [iia.;' t-e :SUSPENDED ,-ir. REVI-IKED for cause . <br /> TI141S FL-M ibT BE DI;FLAYED CZO Iii �! `� T . E"I'S S <br /> REGULATED FACILITY: MY kfIPJI "MART Account ID; 00(11854 <br /> N ,VILS),IId WAY Facility ;O Opl8%, <br /> K ON, CA 95205 ! Ferm.it Printed, 03/28/97 <br /> FILL IN5 ADDRESS; sY MINI MART <br /> AT TN ; MATHARU , P `.PM.TFI_T S <br /> 17 ;x. N WILSON' .,JAY <br /> T_Lac. f r <br />