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# SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTDEPARTMENT
<br />304 E. Weber Ave., Third Floor • Stockton, CA 95202-2708 • Phone (209}468-3420
<br />Donna Hei an, R.EH-S., Director
<br />ENVIRONMENTAL HEALTH
<br />SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br />PERMIT TO OPERATE
<br />Program Permit Permit
<br />Record ID Number Program Code and Description Valid
<br />PRO516543 PT0011351 2220 - SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2004 To 12/31/2004
<br />Hazardous Waste Generator Program:
<br />In order to maintain the permit to 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 22, California Code of Regula0ons_Qhap_ _
<br />20_------ --
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<br />PR0231356 2300 - UNDERGROUND STORAGE TANK FACILITY 1/1/2004 To 12/31/2004
<br />Underground Storage Tank Program:
<br />California Health and Safety Code, Div----------------- 0, Chap. 6.7 and Title 23, California Code of Regulations, Chap: 16
<br />2360 7 390002313bt5Ubub6Ub I-IUUUeuaz o,uuu------
<br />2360 6 390002313560506805 PT0009081 6,000 DIESEL Active, billable DOUBLE WALLED Continuous Interstitial iawitaing
<br />2360 5 390002313560506804 PT0009080 12,000 MIDGRADE UNLEADED Active, billable DOUBLE WALLED Continuous Interstitial monitoring
<br />2362 4 390002313560506803 PT0009079 12,000 REGULAR UNLEADED Active, billable DOUBLE WALLED Continuous Interstitial mknito ing
<br />BOE ID#. 44-033764
<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 condidons
<br />established by San Joaquin Cowry.
<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 lank, 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 (ERD) and are considererd UST Permit Conditions. The approved
<br />monitoring, response, and plot plans shall be maintained onsite with the pemdt
<br />5) The Permittee shall comply xith 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 manufacture. 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) Upomany change in equipment, design or operation of the UST system (including change in tank contents or wage), the Permit to Operate will be subject to review, modification or
<br />11) Lq&gKkglbn, repair and/or removal pemtits are required from the 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 Pemrit 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 corrections specified on the inspection report are not completed by the datc(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 />Billing Address:
<br />USA GASOLINE #65
<br />30101 AGOURA CT #200
<br />AGOURA HILLS, CA 91301
<br />7023.rpt
<br />FacilityID FA0003815
<br />Account ID AR0003402
<br />issued 4/1/2004
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