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SAN JOUIN COUNTY PUBLIC HEALTRVICES <br /> }1~ 304 E.WEBER AV ., HIRD FLOOR • HSTOCKTON,CA 95202 NE(209)468-3420 <br /> KAREN FURST,M.D., M.EH.,HEALTH OFFICER <br /> I DONNA RERAN,R.E.H.S.,DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> 4*, VkATING PERMIT FOR 104DERGRQ %STORAGE TANK FACILITY <br /> Tank Tank PermitAnnual Permit Fee Valid <br /> P1E Number Record I9 Number Capacity Contents Permit. Statue From To <br /> ry?,0 t�31 T4507205 009262 15,000 Reg (JrEleaded 01 Active Permit. 01/01/99 12/31/99 <br /> ')-360 Orli TA5072% 009263 10,f�l Midgrade Unleaded 01 Active Permit. 0110111K4 12/31/99 <br /> 236/1 (103 TAS072t?7 M`1264 10,000 Prem Unleaded 01 Active Permit 01101/99 12!?1!39 <br /> PERMIT C:i EIVD I T I CiNS; <br /> 1) The PERMIT TO AERATE will become void if ANNOL PERMIT Fees and SERVICE Fees are not paid am/or the UST systems) fails <br /> to remain in compliance with the PERMIT CONDITIONS. 3 and monitoring the iJIaT system <br /> 2) The PERMIT TO OPERATE is granted to the TANS: OWNER who accepts responsibility for operating <br /> according to State underground storage tank laws and regulations as well as any conditions established by Sari Joaquin Count*,-. <br /> 3) The TANK OPERATOR(S), if different from the tank owner, shall operate and monitor the UST systeR: according to the WRITTEN <br /> OPERATING AGREEMENT required under vection 25293, Chapter G.T. 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) Lpon 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 re4(t3val or <br /> change of UST system equipment. <br /> 7) This PERMIT TO OPERATE shall not be considered permission to violate any existirr3 laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> + <br /> PERMIT TO OPERATE an UST FACILITY issued to; SE_U THL AND C:f IRPIDRAT I FIN <br /> 5,8 2,C I STONER I D 'E MALL. RD #=_;1 t> <br /> F'L_EA' ;t-'Ifs T ON, C A �E� <br /> PERMITS TO OPERATE and ANNUAL( PERMIT FEE PAYMENT'-Z" a<re NOT TRANSFERABLE <br /> ztnd rfiay be SUSPENDED ,^,p REV0 *:ED f cr cal_4s . <br /> TI! Ii_', �� MMT BE BIc,;PtAYED CONSPICUMISLY 17N THE PRE"ISEs <br /> REGULATED FACILITY: 7 E LEYfEN STORE #-',2Y'2152*#** Account ID; 0013575 <br /> 2.3Gie W GRANT LINE RD Facility ID; 007735 <br /> ,"RACY; + A 9S376 Permit Printed; 04.f261C:`3 <br /> BILLING ADDRESS; '-;E_ES_iT HLAND C:E_ERPORAT I CEN <br /> ATTR•;; A/F' KATHLEEN BALDW IN <br /> PO BO,•e"i, 71. 1 <br /> DALLAS=: , TX 7G2*21. <br />