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<br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br />600 E. Main St. a Stockton, CA 95202-3029 a 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 TE
<br />Permit
<br />un
<br />Program **
<br />Reco ,bar Progra Code end Description CORRECTED* Valid
<br />PR 527197 P 0019015 22 SMALL QUANTITY HAZARDOUS -WASTE GENERATOR FACILITY 1/1/2008 To 12131/2008
<br />pajw"s Waste ro ram:
<br />In order to maint4 the permit to operate, Hazardous Waste Generators shall comply with California Health and Safety Code, Div. 20, Chap. 6.5, Art. 2-13,
<br />Sec25100 else and Title 22, California Code of Regulations, Chap._20,-___________________________________ _.____.-------
<br />----------------
<br />PRO524617 2300 - UNDERGROUND STORAGE TANK FACILITY 1/1/2008 To 12/3112008
<br />Under round Stor a Tank Pro ram:
<br />California Healthnd Safety Code, Div. 20,_Chap.. 6.7 and Title 23, California Code of Regulations, Chap: 16
<br />"au", ........... ..--._-" -
<br />2350 2 390005246170515788 PT0016812 12,000 PREMIUM UNLEADED Active, billable DOUBLE.WALLED Continuous Interstitial Monilonng
<br />2350 3 390005246170515789 PT0016814 10,000 DIESEL Active, billable DOUBLE WALLED Continuous Interstitial Monitoring
<br />31849 "r�1
<br />Underground Storage Tank Permit Conditions
<br />1) The Permit to rate 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 main 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 />established by S m Joaquin County.
<br />3) If the Tank 0 shoals) 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 Owne and tank Operator receive a copy of the permit
<br />4) Written Monitor g Procedures and an Emergency Response Plan must be approved by the Envimmmental Health Department (EHD) and are considererd UST Permit Conditions. The approved
<br />monitoring, respuise, and plot plans shall be maintained onsite with the permit.
<br />5) The Pertain" sl all comply with the monitoring procedures referenced in this permit.
<br />6) The Permittee s iall perform testing and preventive maintenance on all leak detection monitoring equipment annually, or more frequently if specified by the equipment manufacturer, and
<br />provide documgntation of such servicing to this office.
<br />7) In the event of a 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 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 EHD shag t e notified of any change in ownership or operation of the UST system within 30 days of such change.
<br />10) Upon any chanj c 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, re air and/or removal permits arc required from the EHD prior to any change, repair or removal of UST system equipment.
<br />12) The Permittee shall 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 Operate shall not be considered permission to violate any laws, ordinances or statutes of any other Federal, State or Local agency.
<br />14) A "Conditionall Permit may be revoked if corrections specified on the inspection report arc not completed by the date(s) indicated.
<br />PERMITS TO OPERATE are NOT TRANSFERABLE I
<br />and may be SUSPENDED or REVOKED for cause.
<br />PERMIT(s) Valid only for: RALEYS
<br />DBA: RALEY'S
<br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br />Regulated Facilit :-RALEY'S FUEL STATION #356
<br />4219 E MORADA LN
<br />STOCKTON CA 95212
<br />Billing Addre :.. ATTN - PALEYIS
<br />RALEY'S FUEL STATION#356
<br />500 WCAPITOL AVE
<br />SACRAMENTO CA 95605
<br />7028.rpt
<br />Facility ID FA0016523
<br />Account ID AR0029109
<br />Issued 3/612008
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