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SAN JOwOUIN COUNTY PUBLIC HEALTH'srRVICES 304 E.WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 • PHONE(209) 468-3420 KAREN FORST,M.D., M.P.H., HEALTH OFFICER DONNA HERRN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTYPERMIT CERTIFIED OPERATED PROGRAM AGENCY Permit ogram ern[ Program Code and Description Valid Record lD Number 8 1/1100 To 12/31100 PR023134 2300-UNDERGROUND STORAGE TANK FACILITY Underground Storage Tank Program: California Health and Safety Code Div.20,Chap.6.7 and Title 23 California Code of Regulations Chap. 16. _ _ _ _ _ _ _ _ - - - nren se 1 us y m Y e c to 13 ecor rtm a a t Active DOUBLE WALLED AUTOMATIC TANK GLADE 2360 5 390002313410515010 PT0010212,000 REGULAR UNLEADED Active DOUBLE WALLED AUTOMATIC TANK GUAGE 2360 4 390002313410515009 PT0010249 49 20,000 REGULAR UNLEADED Active Underground storage Tank Permit Conditions I) 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 permit,the permit holder shall comply with the H&S Code,Div.20,Chap.6.7 and 6.75;and CCR,Title 23,Chap. 16 and 18,w well as any conditions est blished by Sn Joaquin County. 3) If the Tank 0 mator(s)is different from the Tank Owner n ,or if the Permit to Operate is issued[o a person other than the owner or operator of the tank,the Perttee shall ensure that both the Tank Owner and tnk Operator receive a co py of the permit.oved ((pp ererd 4) LIST Pen[Conditions.iotta. Copies of the Procedures IT=T=PII Rean sponsbe e Pl nmustbeeattached toethis 1peermit or be avvaailable oHS/Er review and/oand we r inspection 5) "Uh"UST ire ST Shall comply with the monitoring procedures referrenecd in this permit. 6) The Permitteeshall perform estingiand de documentation prey rivmaintenance nter n preventive all leak to detection monitoring equipment annually,or m equipmentore frequently if specified by the 7) In the event of a spill,leak,or other unauthorized release,the Pernitee shall comply with the requirements of Title 23 CCR Chap. 16,Art.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 PHS/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 subjeetto review,modification or revocation. 11) Construction,repair and/or removal permits are required from the PHS/EHD prior to any change,repair or removal of UST system equipment. 12) The Permittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the anniversary date of the issuance of this permit. 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. 14) A"Conditional"Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated. a PERMITS TO OPERATE are NOT TRANSFERABLE and may be SUSPENDED or REVOKED for cause. PERMIT(s)Valid only for: ARCO PRODUCTS CO DBA: ARCO STATION THIS FORM17 MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES Facility ID FA0003629 Regulated Facility: ARCO STATION#434' Account ID AR0003207 501 W KETTLEMAN LN Issued 9/28/2000 LODI, CA 95240 Billing Address: ATTN : ENVIRONMENTAL HEALTH &SAFETY ARCO PRODUCTS CO PO BOX 6038 ARTESIA, CA 90702-6038 7023.rpt