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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />304 E. Weber Ave., Third Floor • Sindmon, CA 95202-2708 • Phone (209) 468-3420 <br />Donna Heron, RE.H.S., Director <br />ENMIRONMENTAL HEALTH <br />SAN.JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br />PERMIT TO OPERATE <br />-Program Permit - Permit , <br />'Record 7D Number Program Code and Description Valid <br />PR0516543 PT0011351 2220 -SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 11112001 To 12131/2007, <br />Hazardous Waste Generat�r P—roram <br />In order to maintain the perrriit-ta�operate,. Hazardous Waste Generators shall comply with California Health and Safety Code, Div. 20, Chap. 6.5, Art. 2-13; <br />Sec. 25100 et seq, and Title ifornia Code of Regulations, Chap, 20, __ _____ <br />PR0231356 2300 NDERGROUND STORAGE TANK FACILITY - 1/1/2007 To:, 12131/2007. <br />Underground Storac a Tan 'Prociram.1 - - <br />-California Health and Safe ode, v. 20, Chap. and Title 23, California Code of Regulations, Chap. 16. _ _ _ ___ _ - <br />2362 4 -390002313560506803 PT0009079 12,000 REGULAR UNLEADED .Active, billable DOUBLE WALLED Continuous Interstitial Monitoring <br />- 2360. 5 390002313560506804 PT0009080 - 12,000 MIDGRADE UNLEADED Active, billable DOUBLE WALLED continuous Interstitial Monitoring. <br />2360 6 390002313560506805 PT0009081. 6,000 - DIESEL Active, billable DOUBLE WALLED continuous Interstitial Monitoring <br />2360 7 390002313560506806 PT0009082 6,000 - -PREMIUM UNLEADED - Active, billable DOUBLE WALLED Continuous Interstitial Monitoring <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 these Permit Conditions. <br />2).. In order to maintain the operating Permit, 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 <br />established by San Joaquin County. <br />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; the Permittee shall ensure that both <br />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 Department (EHD) and are considered UST Permit Conditions. The approved <br />- monitoring, response, and plot plans shall be maintained onsite with the permit, <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 manufacturer, and <br />provide documentation of such servicing to this office, - - <br />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, Art. 5, and the 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 for a period of at least three years from the date the monitoring was <br />- performed. <br />9) The 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 review, modification or <br />'revocation.. - <br />11) Consrmction;.repair and/or removal permits are required from the EHD prior to my change, repair or removal of UST system equipment. <br />12) The Permitteeshall submit an annual report documenting compliance with the USF Permit Conditions within 30 days of the date of the 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 corections 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: , KRISTMONT WEST, INC <br />DBA: USA GASOLINE CORP <br />Tank Owner: U S A GASOLINE CORP <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES - <br />Regulated Facility: USA GASOLINE #65 <br />2500 W LODI AVE <br />LODI CA 95240 <br />BillingAddmw: ATTN' :. DIAZ, C <br />.USA GASOLINE #65 . <br />.905- RANCHO CANEJO BLVD <br />NEWBURY PARK CA 91320-1716 <br />7023.rpr <br />FacilitylD FA0003815 <br />Account ID AR0003402 <br />Issued 2/13/2007 <br />