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SAN JOAA COUNTY PUBLIC HEALTH SE*CES <br />304 E. WEBER AVE., THIRD FLOOR a 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 />ermtt <br />ogram eProgram Code and Description Valid <br />Record lD Numbmbee r g <br />PR023135 2300 - UNDERGROUND STORAGE TANK FACILITY 111100 To 12/31100 <br />Underground Storage Tank Program: <br />California Health and Safety Code Div. 20, Chap. 6.7 and Title 23 California Code of Regulations Chap. 16. _ _ _ TER <br />n cor ermu apace on ens e11117:11111s ys em e e --------- <br />-----------------------e ec Ion <br />______________________ <br />FIE ram( 9 <br />kctive <br />DIESEL Active DOUBLE WALLED INTERSTITAL MONITOR <br />2360 6 390002313560506805 PT0009081 6,000 DOUBLE WALLED INTERSTITAL MONITOR <br />2360 5 390002313560506804 PT0009080 12,000 MIGUNLEADED Active DOUBLE WALLED INTERSTITAL MONITOR <br />2360 4 390002313560506803 PT0009079 12,000 REEGULARULAR UNLEADED Active <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, Tide 23, Chap. 16 and <br />18, as well as any conditions established by San Joaquin County. <br />3) If the Tank 0 erator(s) is different from the Tank Owner, or ifthe Permit to Operate is issued to a person other than the owner or operator of the tank, the <br />Permittee shall 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 />USTPennit Condnions. Copies of the Procedures and Emergency Response Plan most be attached to this permit or be availlable for review and/or inspection <br />af th UST site. <br />5) Ilse �'ermrttee shall comply with the monitoring procedures referrenced in this permit. <br />6) ThePermittee 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 Pennitee shall comply with the requirements of 11tle23 CCR Chap. 16, Art. 5, and the <br />approved Emergency Response Plan. <br />8) Writ the itten ecorrds of all mo ng wanitong$ peformed.shall be maintained on-site by the operator and be available for inspection for a period of at least three years <br />date <br />he <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: USA GASOLINE CORP <br />Tank Owner: U S A GASOLINE CORP <br />USA GASOLINE CORP #65 Facility ID 0003 <br />815 <br />Regulated Facility: Account ID AR000340402 <br />2500 W LODI AVE Issued 912812000 <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 HILLW 91301 <br />7Dza.rpt <br />