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SAN JO COUNTY PUBLIC HEALT�VICES <br /> P O Box 388 STOCKTON, CA 95201-0388 • Pgo 09) 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 /> ENVIRONMENTAL HEALTH <br /> CFN R. TI' PERMIT FOR UMERGROUND STORAfiE TAW FACILITY <br /> Tank Tank Permit Annual Permit Fee Valid <br /> P/E Number Record IO Nor Capacity Contents Permit Status From To <br /> 23W 001, TA170401 004M 10,000 Unleaded 0ichive Permit 01/01/97 12/31197 <br /> 2'380 002 TA170402 004437 10,000 Unleaded 01 P s, Permit 01/01/97 12/31/97 <br /> PERMIT COND T T I O NS: <br /> 1) The PERMIT TO OPERATE will become void if ANA PERMIT Pees and SERVICE Ftp are not =aid and/or the tIST system(s) fails <br /> to remain in compliance with the PERMIT CONDITION;. <br /> 2) The PERMIT TO OPERATE is granted to Ue TAW 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 San Joaquin County. <br /> 3) The TAW OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system accordiDi to the WRITTEN <br /> OPERATING AGREEWR required under Section 25293, Chapter 6.7, Division 20, California Health and Safety Code. <br /> d) The TAW , (00 shall notify the Environmental Health Division of any prod 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 ORATE will be reviewed by the <br /> Environmental Health Division. <br /> 6) A construction or removal permit is required from the Envir ital 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 /> PERMIT TO OPERATE an UST FACILITY issued to: QU I K STP MARKETS <br /> PO BOX 5745 <br /> FREMONT, CA 94537 <br /> PERMIT'S TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause . <br /> THIS FORM MUST BE DISPLAYED C06PIGWJSLY ON THE PREMISES <br /> FGULATED FACILITY: QYI,KSTOP MAWETS #7�6*; Account ID: 0001055 <br /> j030 S " wE ST Facility ID: 001060 <br /> STs�CKTON, CA 95205 Permit Printed: 03123/97 <br /> BILLING ADDRESS: QU I K STOP MARKETS INC <br /> PC BOX S74S <br /> FREMONT, CA 9 37 <br />