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r A SAN JOAQj& COUNTY PUBLIC HEALTH SFJWCES <br />P O Box 388 0 -WTMKTON, CA 95201-0388 • PHONE M 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 />Tar& <br />Tank <br />Perffdt <br />Annual Permit <br />Fee Valid <br />P/E i4umber <br />Record ID <br />fiber Capacity Contents <br />Permit Status From <br />To <br />2380 041 <br />TA111101 <br />005474 10,004 Unleaded <br />01 Active Permit 01/01137 <br />12/31/97 <br />2380 002 <br />TA111142 <br />445475 14,000 Unleaded <br />41 Active Permit 41/41/37 <br />12/31/97 <br />PERMIT CONDITIONS: <br />1? The PERMIT TO OPERATE will become void if AIWA PERMIT Fees and SERVICE Fees are not paid and/or the UST system(s) !ails <br />to remain in compliance with the PERMIT CONDITIONS. <br />2? The PERMIT TO OPERATE is granted to the TAI* OWNER who accepts responsibility for cperatirAg and monitoring the UST system <br />according to State underground storage tank laws and regulations as well as any conditions established by San Joaquin Camay. <br />31 The TAW TERATOR(S), if different from the tank owner, shall operate and monitor the LIST system accordim to the ;WRITTEN <br />WERATINe AGREEMENT required under Section 25293, Chapter 6.7, Division 20, California Health and Safety Code. <br />dl The TAW OUNER shall notify the Environmental Health Division of any proposed change in operation or ownership of the UST <br />system. <br />53 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 any removal or <br />change of UST system equipment. <br />1} This PERMIT TO OPERATE shall not be considered permission to violate any existing lams, ordinances or statutes of other <br />federal, state or local agencies. <br />PERMIT TO CRATE an UST FACILITY issued to, QVIK STOP MARKETS <br />PO BOX S74S <br />FF EMONT , CA 94537 <br />PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />THIS FUM BUST BE DISPLAYED CtNEVIMUSLY ON THE PREMISES <br />REGULATED FACILITY; QVIK STOP MARKET'S #39 Account 10= 0001658 <br />2285 E FREMONT i Facility 1D; 001659 <br />STOC KTP N , CA 35205 Permit Printed., 43/28/97 <br />BILLING ADDRESS,. QVIK STOP MARKETS INC: <br />PO BOX S74S <br />FREMONT , CA 94S37 <br />