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SAN JOAQUi60UNTY ENVIRONMENTAL HEALIGEPARTMENT <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 Yermn ' -ali <br />Ree Number ogram Code and Description _ Valid <br />HAZARDOUS <br />1/112011 To <br />In order to 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 -- -aeta, <br />and Title 22, California Code of Regulations_ Chap_20, . <br />PRO524617+ <br />2300 - UNDERGROUND STORAGE TANK FACILITY 11112011 To 12/3112011 <br />Underground Sto <br />age Tank Program <br />and Safety Code, Div. 20, Chap. 6.7 and Title 23, California Code of Regulations, Chap_ 16. <br />----- ----------- -------- – ----- <br />California Health <br />-- ' --------- <br />P/E Tank —# <br />i Tank Record ID Permit # Capacity Contents Permit Status System Type Leak Detection <br />2352 1 <br />390005246170515787 PT0016813 20,000 REGULAR UNLEADED Active, billable DOUBLE WALLED Continuous Interstitial Monitoring <br />2350 2390005246170515788 <br />PT0016812 12,000 PREMIUM UNLEADED Active, billable DOUBLE WALLED Continuous Interstitial Monitoring <br />2350 3 <br />90005246170515789 PT0016814 10,000 DIESEL Active, billable DOUBLE WALLED continuous Interstitial Monitoring <br />III Storage Tank Permit Conditioos <br />perste will become void if Annual Permit Fees and Service Fees are not paid and/or the UST systems) fails to remain in compliance with these Permit Conditions. <br />Undergrou <br />I ) The Permit to <br />2). in order to mai <br />twin the operating permit, the owner and operator shall comply with the H&S Code, Div. 20, Chap. 6.7 and 6.75; and CCR, Tide 23, Chap. 16 and 18, as well as any conditions <br />established by <br />an Joaquin County. <br />3) If the Tank 01 <br />smtor(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 <br />r and lank Operator receive a copy of the permit <br />4) writer Mama <br />ing Procedures and an Emergency Response Plan must be approved by the Environmental Health Department (EHD) and are considererd UST Permit Conditions. The approved <br />monitoring, res <br />miss, and plot plans shall be maintained onsite with the permit. <br />5) The Pennitee <br />all comply with the monitoring procedures referenced in this permit. <br />6) The Permittee <br />duill perform testing and preventive maintenance on all leak detection monitoring equipment annually, or more frequently if specified by the equipment manufacturer, and <br />provide docurr <br />criterion of such servicing to this office, <br />7) In the event of <br />a 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. <br />8) Written record <br />3 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 EHD shag <br />be notified of any change in ownership or operation of the UST system within 30 days of such change. <br />10) Upon any chm <br />ge in equipment, design or operation of the UST system (including change in lank contents or usage), the Permit to Operate will be subject to review, modification or <br />revocation. <br />11) Construction, I <br />pair and/or removal permits are required from the ERD prior to any change, repair or removal of UST system equipment. <br />12) The Pennitee <br />hall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the daze of the issuance of this permit. <br />13) This Permit to <br />Operate shall not be considered permission to violate any laws, ordinances or statutes of any other Federal, State or Local agency. <br />14) A "Conditions <br />" Permit may be revoked if corrections specified on the inspection report are not completed by the dates) 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 HE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />RALEYS FUEL STATION #356 FacilitylD FA0016523 <br />Regulated Facl <br />4219 E MORADA LN Account ID AR0029109 <br />STOCKTON CA 95212 Issued 214/2011 <br />Billing Addre <br />s: ATTN : RALEY' S <br />RALEYS FUEL STATION #356 <br />500 W CAPITOL AVE <br />SACRAMENTO CA 95605 <br />7023.rpt <br />