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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES 304 E. WEBER AVE.,TIIIRD FLOOR • STOCKTON,CA 95202 • PHONE(209) 468-3420 KAREN FURS], M.D., M.P.H., HEALTH OFFICER DONNA HF.RAN. R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFI ED PROGRAM AGENCY PERMIT TO OPERATE rognlDnrPermit enrol Record Number Program Codcand Description Valid PR023234 2300-UNDERGROUND STORAGE TANK FACILITY 1/1100 To 12131100 Underground Storage Tank Program: California Health and Safety Code Div. 20,Chap.6.7 and Title 23 California Code of Regulations Chap. 16. I'll I an- 1111K Kecoracont apace y L un clis I-cruill, nus ,ys cni type 11CHK De cc ion Conditional BOE ID#: 44-025008 Underground Storage Tank Permit Conditions 1) The Permit to Operate will become void if Annual Permit Fees and Service Fecs are not Paid and/or the UST system(s) fails to remain in compliance with these Pemrit Conditions. 2) In order to maintain the operatingScnnil, the pens it holder shall comply with the II&S Code, Div.20,Chap.6.7 and 6.75:and CCR,Tide 23,Chap. 16 and 18.as well as any conditions estab ished by Sau Joaquin Cranny. 3) Ifthe lank Opcntor(s)is different fmnr thc'fank Owner.or ifihe Pemrit to Opcnte is issued to a person other than the owner or opcmlor ol'tlw tank,the Permittee shaP ensure that both the Tank Owner and lank Opemlor receive a copy of the Permit. 4) Written Monitoring Procedures and an Emergency Response Plan must be ap�oved by the Environmental lieallh Division(PHSfElID)and are considerer) UST Pemrit Condniens. Copies of the Pmecdt res and Emergency Response 'Ian most be attached to this permit or be available for review and/or inspection llf'1' I1c 5) �th�ofen nl1�C Shall comply with the monitoring procedures reicrrenecd in this pennil. 6) 'rhe lie,mittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently ifspecifred by lire equipment mane facfurer,and provide documentation of-such servicing to this office, 7) In the even(ora spilL leak,or other unauthorized release,the Pemrilce shall comply with the requirements of Title 23 CCK Chap. 16,Art.5,and the approved Emergency Response flan. 8) Written records ofali monitoring performed shall he maintained on-site by the operator and be available for inspection for a period ofat least three years fmnr the date the nimitnring was Perinrmed. 9) The PIiSl61In shall be notified of any change in ownership or operation of the(IST system within 30 days of such change. 10) Upon ely change in equipment,design or operation ofthe)1ST system (including change in tank contents or usage),the Pemrit to Operate will he subject to review,modification or revocation. 1 1) Construction.repair and/or removal permits are required From the PI I,SAA ID prior to my change,repair or removal of UST system equipment. 12) The Permittee shall subinit an annual report documenting compliance wifh the UST Permit Conditions within 30 days ofthe anniversary date oftlie issuance of lh is permit 13) This Permit In Operate shall not be considered permission to violate any laws,ordinances or statutes orally other Federal,State or Local agency. 14) A"Conditional"Penmfl may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated. PERMITS TO OPERATE are NOT TRANSFERABLE and may be SUSPENDED or REVOKED for cause. PERMIT(s)Valid only for: ROBINSON,JIM REX DBA: ROBINSON TRUCKING Tank Owner: ROBINSON TRUCKING 'IRIS FORhI MOST BE,DISPLAVEI)CONSPICUOUSLY ON Pith;PREMISES Regulated Facility: ROBINSON TRUCKING Facility ID FA0003944 11180 S VALLEJO CT Account ID AR0003553 FRENCH CAMP, CA 95231 Issued 10118/2000 Billing Address: ATTN : JIM ROBINSON ROBINSON, JIM REX 801 E ROTH RD FRENCH CAMP, CA 95231-9777 7023 rpt 0 0