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' SAN JOA COUNTY PUBLIC HEALTH VICES <br /> 4 � <br /> P O Box 388 'STocxTON, CA 95201-0388 • PgoNE ) 468-3420 <br /> 1 ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA HERRN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> OPOWING PER4IT FOR UM)ERffnM STORAGE TAW, FACILITY <br /> f <br /> f <br /> Tank Tank Permit Annual Permit Fee 'valid <br /> P/E Number Record ID Number Capacity Contents Permit Status Frac To <br /> 2380 001. TA149701 (1015365 10,O00 Unleaded 01 Active Permit 01/01/96 12/31/96 <br /> 2350 002 TA143702 WS367 10,000 Other 01 Active Permit 01/01/96 12/31/96 <br /> 2350 003 TA149703 005365 10,000 Diesel 01 Active Permit. 01/01/96 12/31/96 <br /> PERMIT CONDITIONS: <br /> The PERMIT TO OPERATE will become void is ANWAL PERMIT Fees and SERVICE Fees are not paid and/or the t1ST system(s) fails <br /> to remain in compliance with the PERMIT <br /> CONDITIONS. <br /> 2) The PERMIT TO DATE is granted to the TAW OWNER wtc; accepts responsibility for operating and monitoring tte UST system <br /> according to State underground storage tack, laws and regulations as well as any conditions established by San Joaquin County. <br /> 3) The TAIL: OPERATOR'S), if different from the tank 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 /> 4) The TAW. OWNER shall notify the Environmental Health Division of any proposed change in operation or ownership of the UST <br /> system. <br /> 6) t)pon any charge in eguipmer;t, design or oration 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 prier to any removal or <br /> change of UST system equipment. <br /> 7) This PERMIT TO OPERATE shall not to considered permission to violate any existing laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> +: <br /> PERMIT TO OPERATE an +JST FACILITY ITY issued to, _±+,C:K & RUTH ROSE: <br /> 1040 CALIFORNIA !3T <br /> ESC'ALON, CA 9SS20 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> THUS FIM MUST TIME DISPLAYED ICLK&M—Y ON THEPW"ISES <br /> PECULATED FACILITY; ESCALON MINI MART Account ID: 0008693 <br /> 1097 YOSEMITE AVE Facility ID-, 000279 <br /> ESCALON, CA 9S:320 Permit Printed-, 05/02/96 <br /> BILLING ADDRESS-, <br /> E+C:ALa;N MINI MART <br /> ATTN-, ESCALON MINI MART <br /> 1097 YOSEMITE AVE <br /> ESC ALON, CA 9-S320 <br />