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<br /> SAN JOAQUAOUNTY ENVIRONMENTAL HEALTV PARTMENT
<br /> 600 E. Main St. • Stockton,CA 95202-3029 • Phone(209)468-3420
<br /> Donna Heron,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 lD Number Program Code.and Description Permit
<br /> PROS16543 PFill 11351 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY Valid
<br /> Hazardous Waste Generator Program - 1/1/2012 To 12/31/2012
<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 at Beq and Title 22,California Code of Regulations,Chap 20- -
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<br /> R0231356- 2300-UNDERGROUND STORAGE TANK FACILITY
<br /> Underground Storage Tank Program 1/1/2012 To 12/31/2012
<br /> California Health and Safety Code Dlv.20, Chap:6.7 and Title 23,Callforma Code of Re_ ulstions Cha ; 16.
<br /> P
<br /> P/E Tank# Tank Record ID -----
<br /> Permit# C -.- ..___.
<br /> 2362 4 390002313560506803 PT0009079 12 000 REGULAR UNLEADED acus System Type Leak Detection
<br /> 2360 5 390002313560506804 PT0009080 12,000. MID GRADE UNLEADED Active, billable DOUBLE WALLED Continuous ounsahal mminang
<br /> 2360 6 390002313560506805 PT0009081 6,,00 DIESEL Active,billable DOUBLE WALLED Continuous Interstitial Monitornq
<br /> _23.60 7 _390002313560506806 PT0009082 6,000 PREMIUM UNLEADED Active, billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 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 Trot 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 Operators)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 ofthe'permit
<br /> 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Department(EHD)and are considererd UST Permit Conditions. The approved
<br /> monitoring,response,and plot plans shall be mamtame"mitewith the permit.
<br /> 5) The Pemuttee shall comply with the monitoring procedures referenced in this permit - -
<br /> 6) The Permittee shall perforin testing and preventive maintenance on all leak detection monitoring equipment annually;or morefrequently if specified by the equipment manufacturer,and
<br /> provide documentation of such servicing to[his office. -
<br /> 7) In the event of a spill,leak,or other unauthorized release,the Pemtttee shall comply with the requirements of Title 23 CCR,Chap.16,Arta 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 forinspection 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 opemtion 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) Copstruction,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 not be considered permission to violate my laws,ordinances or statutes of any other Federal,State or Local agency.
<br /> 13j A Conditional"Parm it may be revoked ifconow(Jon s specified on the inspection report are not completed by the date(s).indicated.
<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 FORA/MOST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility. USA GAS STATION#68154* Facility ID
<br /> 2500 W LODI AVE FA0003815
<br /> LODI CA 95240 Account ID AR0003402
<br /> Issued 2/29/2012
<br /> Billing Address: LISA 'GARCIA, MS: TX1.-022
<br /> TESORO REFINING .& ,MARKETING CO
<br /> 19100 RIDGEWOOD' PKWY
<br /> . SAN ANTONIO ' TX 78259
<br /> 7023 on
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