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E SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E. Hazelton Ave. • Stockton, CA 95205-6232 • Phone (209) 468-3420 Donna Heran, R.E.H.S., Director ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Permit Program PermitValid .......A m ,,, Program Code and Description In order to PR0524617 2350 2 2350 3 BOE ID#: 44041 1) The Permit to 2) In order to ma established by 3) If the Tank O, the Tank Owl 4) Written Monit monitoring, re 5) The Permittee 6) The Permitter 7) In the event of 8) Written record performed. 9) The EHD shall 10) Upon any chat revocation. II) Constructions 12) This Permit to 13) A "Conditions .-------------- ---- Regulated 7023.rpt 5 2220 - S QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 111112074 10 the permit to operate, Hazardous Waste Generators shall comply with California Health and Safety Code, Div. 20, Chap. 6.5, An. 2-13, and Title 22, California Code of Regulations, Chap_ 20. ..................._.-.---...._--.....__--------_... ---- ---- --- 2300 - UNDERGROUND STORAGE TANK FACILITY 11112014 To 1213112014 6.7 and Title 23, California Code of 16. 5788 PT0016812 12,000 PREMIUM UNLEADED ACTIVE, BILLABLE DOUBLE-WALL Continuous Monitonng 5789 PT0016814 10,000 DIESEL ACTIVE, BILLABLE DOUBLE-WALL continuous Monitoring as I Storage Tank Permit Conditions irate will become void if Annual Permit Fees and Service Fees are not paid and/or the UST system(s) fails to remain in compliance with these Permit Conditions. in the operating permit, the owner and operator shall comply with the H&S Code, Div. 20, Chap. 6.7 and 6.75; and CCR, Title 23, Chap. 16 and 18, as well many conditions atolls) is different from the Tank Owner, or if the Permit to Operate is issued to a person other than the owner or operator of the lank, the Permittee shall ensure that both and tank Operator receive a copy of the permit as Procedures and an Emergency Response Plan most be approved by the Environmental Health Department (EHD) and are considererd UST Permit Conditions. The approved rase, and plot plans shall be maintained onsite with the permit, all comply with the monitoring procedures referenced in this permit. rail perform testing and preventive maintenance on all leak detection monitoring equipment annually, or more frequently if specified by the equipment manufacturer, and elation of such servicing to this office. spill, leak, or other unauthorized release, the Permitee shall comply with the requirements of Title 23 CCR, Chap. 16, An. 5, and the approved Emergency Response Plan. of all monitoring performed shall be maintained on-site by the operator and be available for inspection for a period of at least three years from the date the monitoring was e notified of any change in ownership or operation of the UST system within 30 days of such change. e in equipment, design or operation of the UST system (including change in tank contents or usage), the Permit to Operate will be subject to review, modification or pair and/or removal permits are required from the EHD prior to my change, repair or removal of UST system equipment. )peraw shall not be considered permission to violate any laws, ordinances or statutes of any other Federal, State or Localagency. "Permit maybe revoked if corrections specified on the inspection report are not completed by the date(s) indicated. ---------- _------------------- .-------------------- --------- -------------- ------------------ ---------- '-..--.-------------- -.- PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause. PERMIT(s) Valid only for: RALEYS DBA: RALEY'S Tank Owner: RALEYS FAMILY OF FINE STORES THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES RALEYS FUEL STATION #356 4219 E MORADA LN STOCKTON CA 95212 ATTN : RALEY'S RALEYS FUEL STATION #356 500 W CAPITOL AVE SACRAMENTO CA 95605 FacilitylD FA0016523 AccountlD AR0029109 Issued 3/1212014