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SAN JOAjr COUNTY PUBLIC HEALTH NVVICES <br />P 0 Box 388 ST <br />-roN, CA 95201-0388 0 PfloNeRTM) 468-3420 <br />,.I) <br />ocK <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 />t <br />A4. W_ <br />klr�=1111 kill w� <br />P/E <br />Tank <br />Number <br />Tank <br />Record ID <br />Permit <br />saber <br />Capacity <br />Contents <br />Permit Status <br />Annual Permit <br />From <br />Fee Valid <br />To <br />2380 <br />001 <br />TA1216101 <br />005477 <br />10,000 <br />Unleaded <br />01 <br />Active Permit <br />01101/%- <br />12/31/96 <br />2380 <br />002 <br />TA126102 <br />005478 <br />10,000 <br />Unleaded <br />02 <br />Conditional Permit <br />01/01/96 <br />12/31/96 <br />2380 <br />003 <br />TA126103 <br />005479 <br />8:000 <br />Unleaded <br />02 <br />Conditional Permit <br />01101196 <br />12/31/96 <br />2380 <br />004 <br />TA126104 <br />(NA5480 <br />8iof30 <br />Unleaded <br />02 <br />Conditional Permit <br />0110119% <br />12/31/96 <br />PERMIT CONDITIONS: <br />1) The PERMIT TO OPERATE will tecome void if ANNUAL PERMIT Fees and SERVICE Fees are riot paid and/or the UST system(s) fails <br />to ref4ain in compliance with the PERMIT CONDITIONS. <br />2) The PERMIT TO OPERATE is granted to the TAW OWNER who accepts responsibility for operating and monitoring the LIST 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 tt* UST system according to the WRITTEN <br />OPERATING AGREEMENT required under Section 25293, Chapter 6.7, Division N, California Health and Safety Code. <br />4) The TAW. OWNER shall notify tte Environmental Health Division of any proposed change in cq*ration or ownership of the UST <br />system. <br />5) Upon any chartge 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 rewired from the Environmental 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 />8) A "Conditional Permit" may be revoked if corrections are not completed by the date(s) specified on inspection. <br />PERMIT TO OPERATE an UST FACILITY issued to: QUIK STOP MARKETS <br />PO BOX S74S <br />FREMONT, CA 94S37 <br />PERMITS 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 CONSPICUOUSLY <br />RE GUL ATED FACILITY; QI K STOP MARKETS I NC # 120 <br />9321 N THORNTON RD <br />STOCKTON, CA 9S209 <br />BILLING ADDRESS-, <br />QUIK STOP MARKETS INC #1420 <br />ATTNi QUIK STOP MARKETS INC <br />PO BOX 574S <br />FRE MANT , CA 945S7 <br />Account IDS 00024S1 <br />Facility ID; 002890 <br />Permit Printed: 05/0,2/96 <br />