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SAN JOOUNTY PUBLIC HEALTH•RSES <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 HERRN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br />ENVIRONMENTAL HEALTH <br />SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br />PERMIT TO OPERATE <br />Penlut <br />Reco�rr D Number Program Code and Description Permit <br />Valid <br />PRO50586 2300 - UNDERGROUND STORAGE TANK FACILITY 1/1/00 To 12/31100 <br />Undemround Storage Tank Program: <br />California Health and Safety Code Div. 20, Chap. 6.7 and Title 23 California Code of Regulations Chap. 16. <br />--------------------------------------------------------------- <br />2360 <br />3 390005058670505870 <br />PT0008640 <br />20,000 PREMIUM UNLEADED <br />Active DOUBLE WALLED AUTOMATIC TANK GUAGE <br />2360 <br />2 390005058670505869 <br />PT0008639 <br />20,000 MIDGRADE UNLEADED <br />Active DOUBLE WALLED AUTOMATIC TANK GUAGE <br />2360 <br />1 390005058670505868 <br />PT0008638 <br />20,000 REGULAR UNLEADED <br />Active DOUBLE WALLED AUTOMATICTANKGUAGE <br />Underground Storage Tank Permit Conditions <br />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 <br />these Permit Conditions. <br />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 <br />18, as well as any conditions established by San Joaquin County. <br />3) If the Tank 0perator(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, the <br />m <br />Permee sha11 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 <br />USTPemuit Condnions. Copies of the Procedures and Emergency Response Plan must be attached to this permit or be available for review and/or inspection <br />at th UST site. <br />5) I ire �ermmee shall comply with the monitoring procedures referrenced 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 <br />equipment manufacturer, and provide documentation of such servicing to this office. <br />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 <br />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 fora period of at least three years <br />from the date the 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 of the UST system (including change in tank contents or usage), the Permit to Operate will be subject to <br />review, 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 of the issuance <br />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: TOWER ENERGY GROUP <br />Tank Owner: CUSTOMER CO, THE <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: TOWER MART #104 Facility ID FA0007059 <br />192 LATHROP RD Account ID AR0010198 <br />LATHROP. CA 95330 Issued 9/2912000 <br />Billing Address: ATTN : TOWER MART #104 <br />TOWER MART #104 <br />111 W OCEAN BLVD STE 1650 <br />LONG BEACH, CA 90802 <br />7023.rpt <br />