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SAN JO COUNTY PUBLIC HEALTHAERVICES <br /> P O Box 38o STocxTox, CA 95201-0388 • PRO (209) 468-3420 <br /> ERNEST M. FJJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA RERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> i <br /> ENVIRONMENTAL HEALTH <br /> OF)ERATING PERMIT FOR UM)ERGROUND STORAGE TAW FACILITY <br /> Tank Tank Permit Annual Permit Fee Valid <br /> PIE Number Record ID Number Capacity Contents Permit Status From To <br /> ,, 230 004 TA113004 004472 10,000 unleaded 01 Active Permit 41/011 12/31/x, <br /> 2360 005 TA113006 004474 10,OW Unleaded 01 Active Permit 01/41/96 12/31!96 <br /> 2360 006 TA113006 004.476 6,400 Unleaded 01 Active Permit 41/01196 12/31/96 <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 ccmpliance with the PERMIT C ITI . <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 ban 3oaain County. <br /> 1) The TA. OPERATOR(S); if different from the tarp owner, shall operate and monitor the UST system according to the WRITTEN <br /> MERATING AGREEMENT required under Section 25293, Chapter 6.7, Division 20, California Health and Safety Code. <br /> 4) The TA ' OWNER shall notify the Environmental Health Division of any proposed change in operation or ownership of the lRST <br /> system. <br /> 6) 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 arty 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 otl-ier <br /> federal, state or local agencies. <br /> PERMIT TO OPERATE an UST FACILITY issued to; QU I K STOP MARKETS INC. <br /> PO BOX 574.5 <br /> FREMt NT, CA 94637 <br /> PERMIT? TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> THIS FORM MUST BE DISPLAYM CCWWICWJSLY ON TW PAISES <br /> REGULATED FACILITY: QUIK STOP MARKETS #132 Account IN 000224.5 <br /> 35SS W HAMMER LN Facility IN 002232 <br /> STOCKTON, CA 35209 Permit Printed; OS/02/96 <br /> BILLING ADDRESSs <br /> QV I K STOP MARKETS #132 <br /> ATTN: W I K STOP MARKETS <br /> PO BOX 574.5 <br /> F'REMONT, CA 94537 <br />