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SAN JOA'1I!9UIN COUNTY PUBLIC HEALTH SNoeVICES <br /> 304 E.WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 • PHONE(209)468-3420 <br /> KAREN FURST, M.D., M.P.H., HEALTH OFFICER <br /> DONNA HERAN,R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Pmgmm Permit - Permit <br /> Record lD Number Program Code and Description Valid <br /> PROS13645 PT0009840 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 111/01 To 12/31/01 <br /> Hazardous Waste Generator Program: <br /> California Health and Safety Code Div_20,Chap_6.5,Art.2-13 Sec.25100 et seq,and Title 22 California Code of Regulations,Chap.20, _ _ __ <br /> _______________ __ <br /> PRO502817 2300-UNDERGROUND STORAGE TANK FACILITY 1/1101 To 12/31/01 <br /> Underaround Storage Tank Proaram: , <br /> Califomia Health and Safety Code Div.20,Chap--------------6.7 and Title 23 Califomia Code of Regulations Chap_16___________ ____ <br /> ------ ----..'--- -- --- ---—--- -------------- -- ----------------- <br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection <br /> 2360 7 390005028170507769 PT0009284 3,000 PREMIUM UNLEADED Active DOUBLE WALLED INTERSTITAL MONITOR <br /> 2362 6 390005028170507768 PT0009283 9,000 REGULAR UNLEADED Active DOUBLE WALLED INTERSTITAL MONITOR <br /> Underground Storage Tank Permit Conditions <br /> l) The Perrmt to Operate wig become void if Annual Permit Fees and Service Fees are not paid and/or the UST sysbm(s)fails to remain in compliance with these Permit <br /> Conditions. <br /> 2) In order b maintain the operating permit,the perm[holder 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 <br /> any conditions established by San Joaq uin County. <br /> 3) If the Tank Operator(s)is ddTerem 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 shag <br /> ensure that both 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 Division(PHS/EHD)and are considererd UST Permit <br /> Conditions. Copies of the Procedures and Emergency Response Plan most be attached to this permit or be available for review and/or inspection at the UST site. <br /> 5) The Permittee shall 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 <br /> manufacturer,and provide documentation of such servicing to this office. <br /> 7) In the event of a spill, leak or other unauthorized release,the Pamine shag comply with the requirements of Title 23 CCR,Chap. 16,Art.5,and the appmvcd Emergency <br /> Response Plan. <br /> 8) Written records of all monitoring performed shag be maintained onaite bythe operator and be available for inspection fora period of at bast three years from the date the <br /> monitoring was performed. <br /> 9) The PHS/EHD 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 ofthe UST system(including change in tank contents or usage),the Pamit to Operate will be subject In review, <br /> modification or revocation. <br /> 11) Construction,repair and/or removal permits are required from the PHS/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 anniversary date ofthe 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"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: CRUM, NORM <br /> DBA: WOOLSEY OIL INC <br /> Tank Owner: WOOLSEY OIL INC <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: WOOLSEY OIL CO/ROBERTS PETRO Facility ID FA0005584 <br /> 930 E VICTOR RD Account ID AR0006208 <br /> LODI. CA 95240 Issued 3/29/2001 <br /> Billing Address: ATTN : ACCOUNTS PAYABLE <br /> WOOLSEY OIL CO/ROBERTS PETRO <br /> 166 FRANK WEST CR <br /> STOCKTON, CA 95206 <br /> 7023.rpt <br />