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SAN JOASTI_N..COUNTY PUBLIC HEALTH ORVICES <br /> P O Box 388 -• STOcwroN, CA 95201-0388 • PHONE (209) 468-3420 <br /> EF EST 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 /> OPERATING PERMIT FOR %GERGROUND STORAGE TAW FACILITY <br /> Tac Tank Permit Annual Permit Fee Valid <br /> PIE Number Record ID ?fir Capacity Contents Permit Status From To <br /> � 0 001 TA147601 004452 10,M) Unleaded 02 Conditional Permit 01/01197 12/31/97 <br /> 2380 002 TA147602 004453 10,000 unleaded 02 Conditional Permit 01101/97 12/31/97 <br /> 2180 003 TA147603 00445.5 8,000 'Jnleaded 02 Conditional Permit 01101/97 13/31/97 <br /> PERMIT CONDITIONS; <br /> 1) The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and SERVICE Fees are not paid andlor the !PST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO tMTE is granted to the 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 Cwty. <br /> 3) The TK OPERATOR(S), if different from the tank owner, shall operate and monitor the t►ST system according tt-) the WRITTEN <br /> OPERATING AGREEMENT required ureter Section 25293, Chapter 6.7, Division 20, California Health and Safety Code. <br /> 4) The TAW OWNER 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 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, Mate or local agencies. <br /> 8) A 'Conditional Permit' may be revoked if corrections are riot completed by the date(s) specified on irispection. <br /> PERMIT TO OPERATE an UST FACILITY issued to- t,U I K STOP MARKET"S. INC <br /> PO BOX 5746 <br /> FREMC ONT, CA 94637 <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 ON THE PREMISES <br /> REGULATED FACILITY: QU I K '.STOP MARKETS INC #12S Account ID; 0000683 <br /> �. 4 W � Facility 10: 004 <br /> i�'I P+rON, CA Permit Printed, 03/28/97 <br /> BILLING ADDRESS; QUIK STOP MARKETS INC #126 <br /> PO BOX S74S <br /> FREMONT, CA 94S37 <br />