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/Ir SAN JOAN COUNTY PUBLIC HEALTH SVICES <br /> 304 E.WEBER AVE., <br /> FLOOR • STOCKTON,CA 95202 • PHW(209)468-3420 <br /> KAREN FURsT,M.D.,M.P.H.,HEALTH OFFICER_ <br /> DONNA HERAN,R.E.H.S.,DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> ML S`INfi P E IT FLOR 04D GROX STC AGE TAl+tk: FACILITY <br /> - Tr,; Annual Permit Fee Valid�si� to Permit <br /> P/E Number Record ID Number Capacity Contents Permit, Status Fres To <br /> 2•'-�60 X4 TA507�'9'a 009-;M13,0(X) Reg Unleaded Ot Active Permit ;1/01/9'3 112/31199 <br /> 2%, 0 TA507900 wf4380 7,(0) Preys Unleaded Ol Active Permit. Di/O1I r� l2/31l'�9 <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 t1ST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIOi'r`S. <br /> 2) The PERMIT TO O-fSRATE is granted to tM'�e TAdK (ktNER who accepts responsibility for operatir�g and monitoring the UST system <br /> according to State underground storage tank.. laws and regulations as well as any conditions established by San Joaquin Canty. <br /> 3? The TANK OPERATORS?, if different from the tank owner, shall operate and monitor the UST system according to the BITTEN <br /> under Section 25293, Chapter 6.7, Division 2O, California Health and Safety Code. <br /> OPERATING AGREEMENT required <br /> 4) The TANK; GIAR shall Fortify the Environmental Health Division of any procgtsed change in operation or ownership of the IST <br /> system. ;• �, r viewed by the <br /> 5) 11pon any change in equipment, design or operation of his facility, thie PE`MI� TO OPERATE will be re <br /> Environmental Health Division. <br /> 6) A construction or removal permit is req,Iired from the Environmental Health Division prior trt any removal or <br /> change of UST system equiFiftent•. <br /> 7) This PERMIT TO OPERATE snail not be coridered permission to violate any existing laws, ordinances or statutes of other <br /> . rsfederal, state or local agencies. <br /> PERMIT TO OPERATE an '.IST FACILITY issue{ to: :TAE:K RUTH ROSE <br /> 1040 CALIFORNIA ST <br /> ES.CALON, CA 95_,20 <br /> PERMITS TO OPERATE and ANNUAL PERMIT" FEE PAYMENT'_ are NOT TRANSFERABLE. <br /> and may be SUSPENDED cop REVOKED for cause. <br /> THIS K)ST BE DISMAYED C. I C O)SLY ON TINE PREMISES <br /> REGULATED FACILITY: ESC:ALON MINI MART Account IDS 0008693 <br /> 1097 YOSEMITE AVE: Facility ID; 0279 <br /> ESC:AL=N, CA '95=30 Permit Printed= 04/26/99 <br /> BILLING ADDRESS. ESC:ALON MINI MART <br /> 1097 YOSEMITE AVE <br /> EEDC-ALC'N, CA 95320 <br />