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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 304 E.Weber Ave.,Thud Floor• Stockton,CA 95202-2708• Phone(209) 468-3420 Donna Haan,RF-H.S.,Director ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Program Permit Permit - Record ID Number Program Code and Description Valid PRO507164 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2004 To 12/31/2004. Underground Storage Tank Program: California Health and Safely Code, Div.20,Chap.6.7 and Tide 23,_California Code of Regulations:Chap: 16_ _ _ _ _ _ '.". —.....'................. .... .... . . ...--- PIE Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection 2360 6 390005071640515588 PT0011563 6,000 DIESEL Active,billable DOUBLE WALLED Continuous Interstitial Monitoring 2360 5 390005071640515587 PT0011562 9,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring 2362 4 390005071640515586 PT0011561 15,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring Underground Storage Tank Permit Conditions I) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid andror the UST system(s)fails to remain in compliance with these Permit Conditions. 2) In order to maintain the operating pemdt,the owner and operator shall comply with the HdS Code,Div.20,Chap.6.7 and 6.75;and CCR Title 23,Chap.16 and 18,a;well as any conditions established by San Joaquin County. 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 the Tank Owner and tank Operator receive a copy of the permit. 4) Written Monitoring Procedures and an Emergency Response Plan most be approved by the Environmental Health Department(EHD)and art considererd UST Permit Conditions. The approved monitoring,response,and plot plans shall be maintained onsite with the permit 5) The Permittee shall comply with the monitoring procedures referenced in this perms. 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 provide documentation of such servicing to this office. 7) In the event of a spill,leak,or other unauthorized release,the Permit"shall comply with the requirements of Title 23 CCR,Chap.16,Art.5,and the approved Emergency Response Plan. 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 performed. 9) The EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change. 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 11) LY'815IStglbn,repair and/or removal pemdrs are required from the EHD prior to any change,repair or removal of UST system equipment 12) The Permittee shall submit an annual report documenting compliance with the UST Pemdt Conditions within 30 days of the date of the issuaoce of this permit. 13) This Permit to Operate shall not be considered permission to violate any laws,ordinances or statutes of any other Federal,Slate or Local agency. 14) A"Conditional"Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated- PERMITS ndicatedPERMITS TO OPERATE are NOT TRANSFERABLE and may be SUSPENDED or REVOKED for cause. PERMIT(s)Valid only for: ORLANDO, SAMUEL BENJAMIN DBA: ORLANDO'S Tank Owner. ORLANDO, SAM B THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES Regulated Facility. ORLANDO'S#3 Facility ID FA0007722 18754 E HWY 26 Account ID AR0013418 LINDEN, CA 95236 slued 411/2004 Billing Address: ORLANDO'S #3 PO BOX 1500 LINDEN, CA 95236 7023.rpt