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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E. Hazelton Ave. • Stockton, CA 95205-6232 • Phone (209) 468-3420 <br /> Donna Heran,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Program Permit <br /> Record ID Number Program Code and Description Permit <br /> Valid <br /> PR0St6543--RT00-'Lt351="-2220=-SMALL-QUANTlT"AZARDOU"ASTE--GE -BATOR-FAEUTY---- <br /> -- <br /> - 11 <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 se ,and Title 22,California Code of Regulations,Chap.20_ <br /> - --- <br /> PR02313562300 UNDERGROUND STORAGE TANK FACILITY 1/1/2013 To 12/3112013 <br /> Under round St ra a Tank ro r <br /> California Health and Safety Code, Div.20,Chap.6.7 and Title 23,California Code of Re ulations,Chap. 16. <br /> ._-..._......_._ ....._..... ----------------- ------- ------------------------_------..--9' - ---P <br /> P/E Tank q Tank Record ID Permit Capacity Contents Perini[Status System Type Leak Detection <br /> 2362 4 390002313560506803 PT0009079 12,000 REGULAR UNLEADED Active, billable DOUBLE-WALL Conlin uous Interstitial Monitoring <br /> 2360 5 390002313560506804 PT0009080 12,000 MIDGRADE UNLEADED Active,billable DOUBLE-WALL Continuous Interstitial Monitoring <br /> 2360 6 390002313560506805 PT0009081 6,000 DIESEL Active,billable DOUBLE-WALL Continuous Interstitial Monitoring <br /> 2360 7 390002313560506806 PT0009082 6,000 PREMIUM UNLEADED Active,billable DOUBLE-WALL Continuous Interstitial MonitoringBOE ID#: 44045662 <br /> Underground Storage Tank Permit Conditions <br /> I I 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 lost County. <br /> 3) If tlhe Tank Operators)is different from the Tank Owner,or if the Permit to Operate is issued to a person other than the owner or operator ofthe lank.the Permittee shall ensure that both <br /> the Tank Owner and lank Operator receives 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 coneidererd UST Permit Conditions. The approved <br /> monitoring,response,and plot plans shall he maintained onsite with the permit. <br /> 5) The Pennines 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) Construction,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment. <br /> 12) This Permit to Operate shall net be considered permission to violate any laws,ordinances or statutes of any other Federal,State or Local agency. <br /> 13) A"Conditional'Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated. <br /> .._.--------------------- ---------------------'--------------------------------------------------------------------. ----------'_.-----------_-----------__----------------------- -------------- <br /> PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s) Valid only for: TESORO REFINING & MARKETING CO <br /> Tank Owner: TESORO WEST COAST COMPANY LLC <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: USA GAS STATION#68154* Facility ID FA0003815 <br /> 2500 W LODI AVE Account ID AR0003402 <br /> LODI CA 95240 Issued 2/19/2013 <br /> Billing Address: LISA GARCIA, MS: TX1-022 <br /> TESORO REFINING & MARKETING CO <br /> 19100 RIDGEWOOD PKWY <br /> SAN ANTONIO TX 76259 <br /> 7023-rpt <br />