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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E. Hazelton Ave. • Stockton,CA 95205-6232 • Phone (209) 468-3420 Donna Heran,R.E.H.S.,Director ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Program Permit Permit Record ID Number Program Code and Description ---PROS"46&—PF0012038.— �MA 2220LL-QU*NTITY-HAZARDOUS-WAS`EEGENERATOR-fAEHT-Y --. _— Valid g/1(2013- tt V-alid /$01$--- Hazardous Waste Generator Program 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, Sec.25100 at as and Title 22 ornia Code of ReOulations,Chap. 20_ R--3-- ---- -- - --- P021389- 2300• NDERGROUND STORAGE TANK FACILITY 1/1/2013 To 1 2131/2 01 3 Underground Stora a Tank ro ra California Health and Safety , Div.20, Chap.6.7 and Title 23,California Code of Regulations,Chap. 16_ .._ _-_..... - P E Tank# Tank Record ID Permit# CapacityContents Permit Status System Type Leak Detecnon 2362 4 390002313890138904 PT0004230 10,000 REGULAR UNLEADED Active,billable DOUBLE-WALL Continuous Interstitial Monitoring 2360 5 390002313890138905 PTb004237 10,000 REGULAR UNLEADED Active, billable DOUBLE-WALL Continuous Interstitial Monitoring 2360 6 390002313890138906 PT0004239 10,000 PREMIUM UNLEADED Active,billable DOUBLE-WALL continuous Interstitial Monitoring BOE ID#: 44045933 Underground Storage Tank Permit Conditions 1) The Permit to Operate 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. 2) In order to maintain the operating pemrit,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 established by San Joaquin County. 3) If the Tank Operators)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 the Tank Owner and lank Operator receive a copy of the permit. 4) Written Monitoring Procedures mid an Emergency Response Plan must be approved by the Environmental Health Department(EHD)and are considererd UST Permit Conditions. The approved monitoring,response,Ad plot plans shall be maintained onsite with the permit. 5) The Permittee shall comply with the monitoring procedures referenced in this permit. 6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently if specified by the equipment manufacturer,and provide documentation of such servicing to this office. 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,An.5,and the approved Emergency Response Plan. 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 performed. 9) The EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change. 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 revocation. 11) Construction,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment. 12) This Permit to Operate shall not be considered permission to violate any laws,ordinances or statutes of any other Federal,State or Local agency. 13) A"Conditional'Permit may be revoked if corrections specified on the inspection report are not completed by the dale(s) indicated. _..._-------------'---------_--_..-------------------.-.---_-----_._._..-----_------__...-..-----------...-...-.-.....--------.._._.-----------__..---------------_-------..__-- j PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause. PERMIT(s) Valid only for: VALERO CALIFORNIA RETAIL CO Tank Owner: VALERO CALIFORNIA RETAIL COMPANY THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES Regulated Facility: VALERO CORNER STORE#3698 Facility ID FA0003709 153 E ELEVENTH ST Account ID AR0003288 TRACY CA 95376 Issued 2/1912013 Billing Address: ATTN : LICENSE & PERMITS VALERO CORNER STORE #3698 PO BOX 690007 SAN ANTONIO TX 78269-0007 7023.not