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SAN JOAtIN COUNTY PUBLIC HEALTH#VICES <br />304 E. WEBER AVE., THIRD FLOOR • STOCKTON, CA 95202 • PHONE (209) 468-3420 <br />KAREN FORST, M.D., M.P.H., HEALTH OFFICER <br />DONNA HERAN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br />ENVIRONMENTAL HEALTH <br />SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br />PERMIT TO OPERATE <br />Program Code and Description <br />„,.,, , To 12131/01 <br />FACILITYPR0516543 PT0011351 2220 -SMALL QUANTITY HAZARDOUS WASTE GENERATOR <br />Hazardous Waste Generator PrODfam: <br />-------- <br />California Health and ode Div. 20 .Chap_ 6.5, Art _2-13 Sec. 25100 et seq,and Title 22 California Code of Regulations, Chap:_111101 To 12131/01 <br />PR0231356 4111111INgLDERGROUND STORAGE TANK FACILITY <br />Health <br />23 <br />2360 <br />7 <br />6 <br />JUUUULJ, <br />390002313560506805 <br />- •------- --- DIESEL Active <br />PT0009081 6,000 <br />2360 <br />2360 <br />5 <br />390002313560506804 <br />PT0009080 12.000 I DGRADE UNLEADED Active <br />2362 <br />4 <br />390002313560506803 <br />PT0009079 12,000 REGULAR UNLEADED Active <br />Underground Storage Tank Permit Conditions <br />DOUBLE WALLED INTERSTITAL MONITOR <br />DOUBLEWALLED INTERSTITAL MONITOR <br />DOUBLE WALLED INTERSTITAL MONITOR <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 <br />Conditions. <br />it, 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, a we as <br />2) In order to maintain the operating perm <br />any conditions established by San Joaquin County. <br />3) If the Tank Operator(s) is d ifferent 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 <br />ensure that both the Tank Owner and tank Operator receive a copy of the per mit. <br />4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Division(PHS/EHD) an d are consider erd UST Permit <br />Conditions. Copia of the Procedures and Emergency Response Plan must be attached to this purnit or be available for review and/or inspection at the USC site. <br />5) The Permittee shall comply with the monitoring procedures refermnced 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 [he equipment <br />ev <br />manufacturer, andprovide documentation ofsuch servicing to this office. <br />7) In the event of a spill, leak, or other unauthorized release, the Permiae shall complywith the requirements of Title 23 CCR, Chap. 16, Art. 5, and the approved Emergency <br />Response Plan. <br />g) Written records of all monitoring performed shall be maintained on-site by the operatorand be available for inspection fora period of at least three }ears from the date the <br />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 review, <br />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 Pernuree shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days ofth a anniversary date ofthe issuance of this per <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: USA GASOLINE CORP <br />Tank Owner: U S A GASOLINE CORP <br />THIS FOR1'1 MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Facility ID FA000' <br />Regulated Facility: USA GASOLINE CORP #65 Account ID AR001 <br />2500 W LODI AVE Issued 31291 <br />LODI. CA 95240 <br />Billing Address: ATTN : C I DIAZ/USA GASOLINE CORP <br />USA GASOLINE CORP #65 <br />30101 AGOURA CT <br />AGOURA HILLS, CA 91301 <br />7023.rpt 4P •• <br />