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SAN JOACOUNTY PUBLIC HEALTH VICES <br /> P O Box 388 xToN, CA 95201-0388 • PnoNE ) 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 /> TING PERMIT FOR UNDERGRMW STGRA6E TAW FACILITY <br /> Tank Tank Permit Annual Permit Fee Valid <br /> HE Nm -er Record ID iffier Capacity Contents Permit Status From To <br /> 2380 001 TA23%01 004425 10,000 Unleaded 01 Active Permit 01/01197 121 1197 <br /> 239,1) 002 TA235502 004427 10,000 Unleaded 01 Active Permit 01101%97 12131197 <br /> 2WO 003 TA235503 004429 8,000 Unleaded 01 Active Permit. 01101/97 12/31197 <br /> �i <br /> PERMIT CONDITIONS: <br /> 1) The PERMIT TO MATE will become void if AWIAL PERMIT Fees and SERVICE Fees are not paid and/or the US-T system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TAW NO 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 TAN, 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 5.7, Division 20, California Health and Safety Code. <br /> 4) The TANK CUB shall notify whe 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 /> S) A construction or removal permit is required from the Environmental Health Division prior to any removal or <br /> chane of UST system equipment. <br /> 7) This PERMIT TO OPERATE shall not be considered permission to vio'late any existing 'laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> PERMIT TO OPERATE an UST FACILITY issued tc; QU I K STOP MARKETS <br /> PO BOX 5745 <br /> FREMONT, 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 FORM MWT BE IIISPLA'YED OMSPICUMALY ON THE RISES <br /> REGULATED FACILITY; QV I K STOP MARKETS INC #1152Accout?t 10: 00(X5T <br /> ' .I ` S BCH KEE I,� Facility ID 000591 <br /> L EDI , CA ` 5240 �U— Permit Printed., 03128/97 <br /> BILLING ADDRESS: Q i IK STOP MARKETS INC #11S2 <br /> PO BOX 5745 <br /> FRE!`;ONT, CA 94437 <br />