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-' SAN JOAQJI COUNTY PUBLIC HEALTH S10ES <br /> P O Box 388 •NgrocKT^ CA 95201-0388 • PHONE ) 468-3420 <br /> ERNEST M. FUIIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA RERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> GFERATjt4s SIT FiDR 4D STOMR�'E' T' vk;' FACILITY <br /> Tank Tank Permit Annual Permit Fee 'Valid <br /> PtE Number Record IO Number Capacity Contents_ Permit Status _ Frout To <br /> 2330 004 TA146SO4 004473 12jOOO Unleaded 02 Conditional Permit 01/01/96 12/31196 <br /> 2330 005 TA146505 004483 10,000 Unleaded 02 Conditional Permit 01/01/96 12/31/96 <br /> 2330 0136 TA146506 004d"o5 8,M'O Unleaded 02 Conditional Permit 01/01/96 12131196 <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. USI system(si fails <br /> to remain in ccnpiiance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TAMC OWNER who accepts responsibility for operating and monitoring the UST system <br /> according to State underground stora^e tank laws and regulations as well as any conditions established by San Joaquin Canty. <br /> 3) The TANK OPERATOR(£J, if different from the tank owner, shall operate and monitor the UST system according to the WRITTEN <br /> OPERATING AGREEMENT required under Section 25233, 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) Upon any change in equipment, design or operation of this facility, the 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 /> 8) A "Conditional Permit may be revo`.ed if corrections are rot completed by the dates) specific. on inspection. <br /> PERMIT TO OPERATE an UST FACILITY issued to: TIME OIL CO <br /> 2737 W COMMADORE WAY <br /> SEATTLE, WA 98199 <br /> PERMIT': TO OPERATE and ANNUAL. PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED orr REVOKED for cause . <br /> T44I5 u 67f a'� IAjSpLA.'Yf�% IC Y e Tom. F?�1I <br /> REGULATED FACILITY: JACKPOT FOOD MART Account ID: 0003444. <br /> 1434 W YOSEMITE AVE Facility IDs 00:37:39 <br /> MANTEC:A, CA '35366 Permit Printed; 05/02/96 <br /> BILLING ADDRESS: <br /> TIME OIL CO <br /> ATTIC ; MIKE PAISLEY <br /> 2737 W COMMODORE WAY <br /> SEATTLE, WA 98199-12:33 <br />