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SAN JOAQU*OUNTY ENVIRONMENTAL HEALADEPARTMENT
<br />600 E. Main St. • Stockton, CA 95202-3029 • Phone (209) 468-3420
<br />Donna Heran, R.E.H.S., Director
<br />ENVIRONMENTAL HEALTH
<br />SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br />PERMIT TO OPERATE
<br />Program Permit Permit
<br />Record ID Number Program Code and Description Valid
<br />PRO627197 OT0019015 2220 - SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2012 To 12131/2012
<br />In orderto maintain the permit to operate, Hazardous Waste Generators shall comply with California Health and Safety Code, Div. 20, Chap. 6.5, Art. 2-13,
<br />Sec_ 25100 et seq, and Title 22,_ California Code of Regulations, Chap _20; ,___________
<br />-- - ----- -------- - ------ ---------
<br />PR0524617 2300 - UNDERGROUND STORAGE TANK FACILITY 111/2012 To 12/31/2012
<br />Underground Storage Tank Program:
<br />California Health and Safety Code, Div_20, Chap. 6,7 and Title 23, California Code of Regulations, Chap, 16. _ ..... __.________
<br />2352 1 390005246170515787 P 0016813 20,000 KhUULsrc UnLr LAMIJ vcnpe,outaDle ^^• •^^��••�^^��•^�•^�•^••^^•e
<br />2350 2 390005246170515788 PT0016812 12,000 PREMIUM UNLEADED Active, billable DOUBLE WALLED Continuous Interstitial Monitoring
<br />2350 3 390005246170515789 PT0016814 10,000 DIESEL Active, billable DOUBLE WALLED Continuous Interstitial Monitoring
<br />BOE ID* 44041 19NAM
<br />Undergrou H1 Storage Tank Permit Conditions
<br />1) The Permit to perste will, become void if Annual Penni/ Fees and Service Fees are not paid and/or the UST system(s) fails to remain in compliance with these Permit Conditions.
<br />2) In order tom ' fain 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 as any conditions
<br />3) If the Tank Of crator(s) 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 tank, the Permittee shall ensure that both
<br />the Tank Own nr and tank Operator receive a copy of the permit.
<br />4) written Mount ring Procedures and an Emergency Response Plan most be approved by the Environmental Health Department (EHD) and we considererd UST Permit Conditions. The approved
<br />monitoring, rense, and plot plans shall be maintained onsite with the permit.
<br />5) The Permittee hall comply with the monitoring procedures referenced in this permit.
<br />6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually, or more frequently if specified by the equipment manufacturer, and
<br />provide documentation of such servicing to this office.
<br />7) In the event ora spill, leak, or other unauthorized release, the Permute shall comply with the requirements of Title 23 CCR, Chap. 16, An. 5, and the approved Emergency Response Plan.
<br />8) Written records 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
<br />performed.
<br />9) The FRO shall be notified of any change in ownership or operation of the UST system within 30 days of such change.
<br />10) Upon any change in equipment, design or operation of the UST system (including change in tank contents or usage), the Permit to Operate wil I be subject to review, modification or
<br />revocation
<br />11) Construction, repair and/or removal permits are required from the EFID prior to any change, repair or removal of UST system equipment
<br />12) This Permit to Operate shall not be considered permission to violate any laws, ordinances or statures of any other Federal, State or local agency.
<br />13) A "Conditional" Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated.
<br />PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause.
<br />PERMIT(s) Valid only for: RALEYS
<br />DBA: RALEY'S
<br />Tank Owner: RALEYS FAMILY OF FINE STORES
<br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br />RALEYS FUEL STATION #356 Facility Io FA0016523
<br />Regulated Faci1 4219 E MORADA LN Account ID AR0029109
<br />STOCKTON CA 95212 issued 2/1012012
<br />Billing Addre4s: ATTN : RALEY'S
<br />RALEYS FUEL STATION #356
<br />500 W CAPITOL AVE
<br />SACRAMENTO CA 95605
<br />7023.rpt
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