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SAN JOAOIN COUNTY PUBLIC HEALTH SOICES 304 E. WEBER AVE., THIRD FLOOR • STOCKTON, CA 95202 • PHONE (209) 468-3420 KAREN FURST, M.D., M.P.H., HEALTH OFFICER DONNA HERAN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Permit Program Permit Recorm Number Program Code and Description Valid PR0505867 2300 - UNDERGROUND STORAGE TANK FACILITY 111101 To 12/31/01 Underground Storage Tank Program: Califomia Health and Safety Code Div_ 20, Chap.6.7 and Title 23 California Code of Regulations Chap _16- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 23ov 4 oavvvwwv. v ......... . . ........— I ---- 2360 3 390005058670505870 PT0008640 20,000 PREMIUM UNLEADED Active DOUBLE WALLED AuroMATICTANKcuacE 2360 2 390005058670505869 PT0008639 20,000 MIDGRADE UNLEADED Active DOUBLEWALLED AUTOMATIC TANK GUAGE 2362 1 390005058670505868 PT0008638 20,000 REGULAR UNLEADED Active DOUBLE WALLED AUTOMATIC TANK GUAGE Underground Storage Tank Per Conditions 1) The Permit to Operate win become void if Annual Pentrit Fees and Service Fees are not paid and/or the USF system(s) fails to remain in compliance with these Permit Conditions. 2) In order so 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, as wen as any conditions established by San Joaquin County. 3) If the Tank Operator(s) 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, Ste Permittee shag ensure that both the Tank Owner and tank Operator receive a copy of the permit. 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Division (PHS/EHD) and are considererd UST Permit Conditions. Copies of the Procedures and Emergency Response Plan must be attached to this permit or be available for review and/or inspection at the USF site. 5) The Permittee shall comply with the monitoring procedures referrenced 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 ofsuch servicing to this office. 7) In the event of a spill, leak, or other unauthorized release, the Permilee shag comply with the requirements of Tile 23 CCA, Chap. 16, Art. 5, and the approved Emergency Response Plan. 8) Written records of all monitoring performed shag be maintained on-site by the openuorand be available for inspection fora 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 ofthe USF 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 PHS/EHD prior to any change, repair or removal of UST system equipment. 12) The Permitter shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the anniversary date of the issuance ofthis 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. PERMITS TO OPERATE are NOT TRANSFERABLE and may be SUSPENDED or REVOKED for cause. PERMIT(s) Valid only for: Tank Owner: TOWER VNt=KUT UKUUr CUSTOMER CO, THE THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES Regulated Facility: TOWER MART #104 Facility ID FA0007059 192 LATHROP RD Account ID AR0010198 LATHROP. CA 95330 Issued 312912001 Billing Address: ATTN : TOWER MART #104 TOWER MART #104 111 W OCEAN BLVD STE 1650 LONG BEACH, CA 90802 7023.rpt 0 0