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SAN JOA'IUIN COUNTY PUBLIC HEALTH ?RVICES <br />P O Box 388 . SrocKToN, CA 95201-0388 • PHONt '(209) 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 />WITA P' I PSP_ ►Y W.1 M IN DFA 11 In I <br />Oi'ERATING PERMIT FOR LN2ER(&')LM STORAGE TAW, FACILITY <br />Tank <br />Tank <br />Permit. <br />Annual Permit Fee valid <br />P/E Number <br />Record ID <br />Number <br />Permit. States From To <br />:-%0002 <br />TAi({?002 <br />(96bP <br />_CapacityContents <br />1,000 Unleaded <br />01 Active Permit 01/01195 U 1/.5 <br />2360 005 <br />TAI M-5 <br />006556 <br />!,000 Unlea&�j <br />01 Active Permit. 01/01/95 12/31/95 <br />PERMIT CONDITIONS; <br />D The PERMIT TO OPERATE will become void if ANNUAL HR41T Fees and 'SERVICE Fees are not paid and/or tt ISTsy=_t.em(s` fails <br />to remain in cow. fiance with the PERMIT CONOITIDNS. <br />2i The PERMIT TO OPERATE is granted in the TANK OVNER who accepts responsibility for operating and monitoring the UST system <br />according to State undergroiund =storage tank laws and regulations as well as any conditions established by San Joaquin County. <br />11 TIS TANK. OPERATOR(S), if different from the tar& owner, shall operate and monitor the UST system according to the WRITTEN <br />OPERATING AGREEMENT required under Section 25293, Chapter 6.7, Division 20, California Health and Safety Code. <br />4The TAW. OWNER shall notify the EnvironFental Health Division of any Proposed change in operation or ownership of the UST <br />system. <br />5; Upcm any charm in equipment, design or operation of this facility, the PERMIT TO OPERATE will be reviewed by the <br />Environmental Health Division. <br />ni A construction or removal permit is required from the Environmental Health Division prior to any removal or <br />champ of UST system equipment. <br />7) This PERMIT TO OVERATE shall not M 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: BOvZ-ANO, LINO <br />2,991 N ARATA RD <br />STOCKTON, CA 95 205 <br />PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />THIS FUM ?MT BE DISPLAYED CONSPICIklJSLY ON THE PREMISES <br />WMATED FACILITY; THREE PALMS SROCERY Account ID- 000:3,669 <br />6732 E HWY 88 Facility 10, 004030 <br />STOCKTON, CA 95205 Permit Printed, 08/11;9S <br />SIDING ADDRESS, <br />THREE PALM:; GROCERY <br />ATTN: BOZZANO, LINO <br />2891 N ARATA RD <br />STOCK:TON, CA 95205 <br />