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SAN JOAOIN COUNTY PUBLIC HEALTH MVICES <br />P O Box 388 • STOCWMN CA 95201-0388 • PHONE 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 />-'R Rt f t "` R. ^ R� Y', `R11 I <br />:.I R 'i ;R.� ,! ■: li:.R111, 111 1-111 11 <br />4 \ t. 1 •;.: <br />PERMIT CONDITIONS; <br />1) The PERMIT TO OPERATE will become void if MM PERMIT Fees and SERVICE Fees are not paid and/or the UST system{sl fails <br />to remain in compliance with, the PERMIT CONDITIONS. <br />2) This PERMIT TO ATE is granted to the TAW 00 who accepts responsibility for operating and monitoring the UST system <br />according to State underground storm tank laws and regulations as well as any conditions established by San Joaquin County. <br />3) The TW, 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 TWCSR shall notify the Environmental Health Division of any proposed 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 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 />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: CARDOZA, ED <br />183 N MAIN ST <br />MANTE'CA, CA 9533 <br />PERMITS' TO � OPERATE and ANNUAL PERMIT <br />and may be SUSPENDED <br />THIS FOR" MUST BE DIS 7'i.AYED <br />REGULATED FACILITY: ONE STOP MARKET <br />V1,1- V, LOU lea: Ai%E <br />BILLING ADDRESS., ONE STOP MARKET <br />ATTN : JARNA I L 'ti KAMC,OJ <br />1161 W LOU I S:E AVE <br />MANTECA , CA 953:36 <br />FEE PAYMENTS ars: NOT TRANSFERABLE <br />or REVOKED for cause. <br />CONSPI Y ON TW PREMISES <br />Account ID: 0000817 <br />Facility IAB: 00019 <br />Perait Printed., 03/28/97 <br />s <br />Tank <br />Tank <br />Permit <br />Annual Permit <br />Fes Valid <br />PIE <br />NaberRecord <br />ID <br />habler <br />CapacityContents <br />Permit Status <br />From <br />To <br />2 <br />001 <br />TA142901 <br />004262 <br />10,000 <br />Unleaded <br />41 Active Permit <br />01/01/97 <br />12/31197 <br />2380 <br />002 <br />TAIM2 <br />004263 <br />10,000 <br />Unleaded <br />01 Active Permit <br />01/01/97 <br />12/:31/97 <br />2380 <br />033 <br />TA142903 <br />004264 <br />10,000 <br />Unleaded <br />01 Active Permit <br />01/01/97 <br />12131/97 <br />PERMIT CONDITIONS; <br />1) The PERMIT TO OPERATE will become void if MM PERMIT Fees and SERVICE Fees are not paid and/or the UST system{sl fails <br />to remain in compliance with, the PERMIT CONDITIONS. <br />2) This PERMIT TO ATE is granted to the TAW 00 who accepts responsibility for operating and monitoring the UST system <br />according to State underground storm tank laws and regulations as well as any conditions established by San Joaquin County. <br />3) The TW, 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 TWCSR shall notify the Environmental Health Division of any proposed 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 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 />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: CARDOZA, ED <br />183 N MAIN ST <br />MANTE'CA, CA 9533 <br />PERMITS' TO � OPERATE and ANNUAL PERMIT <br />and may be SUSPENDED <br />THIS FOR" MUST BE DIS 7'i.AYED <br />REGULATED FACILITY: ONE STOP MARKET <br />V1,1- V, LOU lea: Ai%E <br />BILLING ADDRESS., ONE STOP MARKET <br />ATTN : JARNA I L 'ti KAMC,OJ <br />1161 W LOU I S:E AVE <br />MANTECA , CA 953:36 <br />FEE PAYMENTS ars: NOT TRANSFERABLE <br />or REVOKED for cause. <br />CONSPI Y ON TW PREMISES <br />Account ID: 0000817 <br />Facility IAB: 00019 <br />Perait Printed., 03/28/97 <br />s <br />