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SAN JOAQUIN OUNTY ENVIRONMENTAL HEALTIOPARTMENT <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 />Permit <br />Program Pe n......., dDescription Valid <br />Record N rnbe <br />as tart 197 PT0019D15 2220 -SM LQU TITY HAZARDOUS WASTE GENERATOR FACILITY 1/112010 To 1 213112 01 0 <br />Sec, 25100" <br />PR0524617 <br />2350 <br />2350 <br />the permit to operate, Hazardous Waste Generators shall comply with California Health and Safety Code, Div. 20, Chap. 6.5, Art. 2-13, <br />end Tina 22 California Cade of Reaulations, Chap. 20. ---------- <br />"--'- -- ----- -- <br />2300 - UNDERGROUND STORAGE TANK FACILITY <br />1/112010 To 12/31/2010 <br />age Tank Program: <br />and Safety Code, Div. _Chap. 6,7 and Title 23,_California Code. of Regulations, Chap, 16. <br />_________.-_--__--_--___-----___-.---__._-__.__ <br />Tank Record ID Permit N Capacity Contents <br />Permit Status <br />System Type <br />Leak Detection <br />390005246170515787 PT0016813 20,000 REGULAR UNLEADED <br />Active, billable <br />DOUBLE WALLED <br />DOUBLE WALLED <br />continuous interstitial Monitoring <br />Continuous Interstitial Monitoring <br />390005246170515788 PT0016812 12,000 PREMIUM UNLEADED <br />DIESEL <br />Active, billable <br />Active, billable <br />DOUBLE WALLED <br />continuous Interstitial Monitoring <br />390005246170515789 PT0016814 10,000 <br />169 <br />Underground Storage Tank Permit Conditions <br />1) The Perini <br />2) In order to <br />establisher <br />3) If the Tan <br />the Tank t <br />4) Written M <br />monitorial <br />5) The Panni <br />6) <br />7). <br />8) <br />9) <br />10) <br />11) <br />12) <br />The Per <br />provide <br />In the e <br />aerate will become void if Annual Permit Fees and Service Fees are not paid and/or the UST systems) fails in remain in Compliance with these Permit Conditions. <br />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 as any conditions <br />a Joaquin County. <br />atm(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 />and tank Operator receive a copy of the permit. <br />is Procedures and an Emergency Response Plan must be approved by the Environmental Health Department (EHD) and are considererd UST Permit Conditions. The approved <br />rise, and plot plans shall be maintained onsite with the permit. <br />dl comply with the monitoring procedures referenced in this permit. <br />tall perform testing and preventive maintenance on all leak detection monitoring equipment annually, or more frequently if specified by the equipment manufacturer, and <br />notion of such servicing to this office. <br />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 />d -site b the rotor and be available for inspection for a period of at least three years from the date the monitoring was <br />Written records of all monitoring performed shall be mamtame on y o pe <br />performed. <br />The EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change. <br />Upon any change 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 <br />revocation. <br />Construction, tepair and/or removal permits are required from the EHD prior to any change, repair or removal of UST system equipment. <br />The Permittee11shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the date of the issuance of this permit. <br />13) This Permit it Operate shall not be considered permission to violate any laws, ordinances at statutes of any other Federal, State or Local agency. <br />14) A "Condition l" Permit maybe revoked if corrections specified on the inspection report are not completed by the dates) indicated. <br />PERMITS TO OPERATE are NOT TRANSFERABLE I <br />and may be SUSPENDED or REVOKED for cause. J <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 UN irtr: risstru ncm <br />Regulated Fat lity: RALEYS FUEL STATION #356 <br />4219 E MORADA LN <br />STOCKTON CA 95212 <br />Billing Add ss: ATTN : RALEY'S <br />RALEYS FUEL STATION #356 <br />500 W CAPITOL AVE <br />SACRAMENTO CA 95605 <br />7023mt <br />FacilityID FA0016523 <br />Account ID AR0029109 <br />Issued 2(1012010 <br />