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SAN JOA#IN COUNTY PUBLIC HEALTH SWICES <br /> 304 E.WEBER AVE.,THIRD FLOOR • 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 /> erm <br /> rogram n Permit <br /> 1 Reco Number Program Code and Description Valid <br /> PRO50665 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/00 To 12131/00 <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. <br /> .. - - - -- - - - - - <br /> - - - - - - --- - -- - - - --- -- - -------.. .-- - ------- --- --- - - - -- ---- <br /> an' an' ec r emi apace Content remit a us ys em ype LCaK Lietection <br /> Active UUUUEE'�, IWERSTITAL MUNI FUR <br /> 2360 2 390005066500506652 PT0008985 12,000 MIDGRADE UNLEADED Active DOUBLE WALLED INTERSTITAL MONITOR <br /> 2360 3 390005066500506653 PT0008984 20,000 REGULAR UNLEADED Active DOUBLE WALLED INTERSTITAL MONITOR <br /> BOE ID(K <br /> 90506"M <br /> Underground <br /> Underground Storage Tank Permit Conditions <br /> 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 <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,Title 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 if the 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 apprbved by the Environmental Health Division(PHS/EHD)and are considererd <br /> USTPermit Conditions. Copies ofthe Procedures and Emergency Response V1 an must be attached to this permit or be available for review and/or inspection <br /> [h UST site. <br /> 5) the ePemidtee shall comply with the monitoring procedures refermneed 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 <br /> equipment manufacturer,and provide documentation of such servicing to this office. <br /> 7) In theevent of a spill,leak,orother unauthorized release,the Pemtitee shall comply with therequirements of Title23 CCR,Chap. 16,Art.5,and the <br /> approved Emergency Response Plan. <br /> 8) Written records of all monitoring performed shall be maintained on-site by the operator and be available far inspection fora period ofat least three years <br /> from the date the 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 subjectto <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 USTPermit Conditions within 30 days ofthe anniversary dateofthe issuance <br /> ofthis 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($) indicated. <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: PRESTIGE STATION INC <br /> Tank Owner: ARCO <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: ARCO FACILITY#6335' Facility ID FA0007571 <br /> 4855 S HWY 99 FRONTAGE RD Account ID AR0012179 <br /> STOCKTON, CA 95215 Issued 9129/2000 <br /> Billing Address: ATTN : PERMITS - LICENSING <br /> ARCO FACILITY#6335' <br /> PO BOX 5077 <br /> BUENA PARK, CA 90622 <br /> 7023.rpt 1 <br />