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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.Weber Ave.,Third Floor•Stockton,CA 95202-2708• Phone(209)468-3420 <br /> Donna Herart, PLEH.S..,Director <br /> SAN jKAI� naCTETFEUAA�7A ENCU <br /> PERMIT TO OPERATE <br /> Program Permit Permit <br /> Record ID Number Program Code and Description Valid <br /> PRO507164 2300-UNDERGROUND STORAGE TANK FACILITY 3/812002 To 12/31/2002 <br /> Underground Storage Tank Program: <br /> California Health and Safety Code Div.20, Chap.67 and Title 23 California Code of Regulations Chap. 16. ___-__-___"_. .... <br /> ---_"_ __...-_ ...___ .__..._ r.__Y....._ ....-_". <br /> P/8 <br /> Tank Tank Record ID Permit C� acit Contents It t Status System type Leak Detection <br /> 2360 6 390005071640515588 PT0011563 6,000 DIESEL Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> 2360 5 390005071640515587 PT0011562 9,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED continuous Interstitial Monitoring <br /> 2362 4 390005071640515586 PT0011561 15,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <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 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 <br /> conditions established by San Joaquin County. <br /> 3) If the Tank Operator(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 Permittee shall ensure that <br /> both the Tank Owner and tank Operator receive a copy of the permit. <br /> 4) Written Monitoring Procedures and an Emergency Response Plan most be approved by the Environmental Health Department(EHD)and are considererd UST Permit Conditions. The <br /> approved monitoring,response,and plot plans shall be maintained onsite with the permit. <br /> 5) The Permittee 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 ifspecified by the equipment manufacturer, <br /> and provide documentation of such servicing to this office. <br /> 7) In the event of a spill,leak,or other unauthorized release,the Permilee shall comply with the requirements of Title 23 CCR,Chap.16,Art.5,and the approved Emergency Response <br /> 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 <br /> was 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 rank 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) The Permittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the anniversary date of the issuance of this pennit. <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 datc(s) indicated. <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: ORLANDO,SAMUEL BENJAMIN <br /> Tank Owner: ORLANDO, SAM B <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility. ORLANDO'S#3 Facility ID FA0007722 <br /> 18754 HWY 26 Account ID AR0013418 <br /> LINDEN, CA 95236 Issued 7/15/2002 <br /> Billing Address: ATTN : ORLANDO, SAM &MARILYN <br /> ORLANDO'S#3 <br /> 9725 OAKWILD AVE <br /> STOCKTON, CA 95212 <br /> 7023.rpt <br />