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2800 - Aboveground Petroleum Storage Program
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PR0527197
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BILLING_PRE 2019
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Entry Properties
Last modified
5/31/2019 3:45:14 PM
Creation date
9/21/2018 4:09:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2800 - Aboveground Petroleum Storage Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0527197
PE
2220
FACILITY_ID
FA0016523
FACILITY_NAME
RALEYS FUEL STATION #356
STREET_NUMBER
4219
Direction
E
STREET_NAME
MORADA
STREET_TYPE
LN
City
STOCKTON
Zip
95212
APN
12429017
CURRENT_STATUS
01
SITE_LOCATION
4219 E MORADA LN
P_LOCATION
01
P_DISTRICT
004
QC Status
Approved
Scanner
EJimenez
Tags
EHD - Public
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0 <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <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 />ran Id M �P�mgraam Code and Description Validt <br />QUANTITY HAZARDOUS WASTE GENERATOR FACILITY <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 et se , and Title 22, California Code of Re ulations, Chap. 20. ___ <br />- - --- — -- ------------------9- <br />PRO524617 2300 - UNDERGROUND STORAGE TANK FACILITY 1/1/2009 To 12/312009 <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 />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 Intersutial Monitoring <br />BOE ID#: 44.031849 <br />Undergroupd Storage Tank Permit Conditions <br />1) The Permit to Aerate 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, <br />2) In order to maintain the operating perrnit, 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 u any conditions <br />established by San Joaquin County. <br />3) If the Tank Op nator(s) is different from the Tank Owner, or if the Persil 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 Owner and tank Operator receive a copy of the permit <br />4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Department (END) and are considererd UST Permit Conditions. The approved <br />monitoring, response, and plot plans shall be maintained onsite with the permit. <br />5) The Permittee shall comply with the monitoring procedures referenced in this permit. <br />6) The Permittee 4hall perform testing and preventive maintenance on all leak detection monitoring equipment annually, or more frequently if specified by the equipment manufacturer, and <br />provide doe um ration of such servicing to this office. <br />7) In the event of i spill, leak, or other unauthorized release, the Permitee shall comply with the requirements of Title 23 CCR Chap. 16, Art. 5, and the approved Emergency Response Plan. <br />8) Written record of all monitoring performed shall be maintained on-site by the operator and be available for inspection for a period of al least three years from the date the monitoring was <br />performed. <br />9) The EHD shall is 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 will be subject to review, modification or <br />revocation. <br />11) Construction, repair and/or removal permits ate required from the EHD prior to my change, repair or removal of UST system equipment. <br />12) The Permittee all 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 to perate shall not be considered permission to violate any laws, ordinances or statutes of any other Federal, State or Local agency. <br />14) 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 are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: RALEYS <br />DBA: RALEY'S <br />I I THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated <br />Billing <br />7023.rpt <br />RALEY'S FUEL STATION #356 <br />4219 E MORADA LN <br />STOCKTON CA 95212 <br />ATTN : RALEY'S <br />RALEY'S FUEL STATION #356 <br />500 W CAPITOL AVE <br />SACRAMENTO CA 95605 <br />Facility lD FA0016523 <br />Account ID AR0029109 <br />Issued 2/4/2009 <br />
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