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SAN .;OAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 60n E. Main St. • Stockton, CA 95202-3029 a Phone (209) 468-3420
<br /> Donna Heran,R.E.H.S., Director
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit Permit
<br /> Record ID Number Program Code and Description Valid
<br /> PRO514260 PT00104632220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2011 To 12/31/2011
<br /> Hazardous Waste Generator Program:
<br /> In order to maintaiatb_e permit to operate, Hazardous Waste Generators shall comply with California Health and Safety Code, Div.20,Chap.6.5,Art.2-13,
<br /> Se .25 OT 0 et seq,and Ti e-2-2 California Code of Regulations,Chap.20_-----------------------------------
<br /> I-
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<br /> R0232601 2300,UNDERGROUND STORAGE TANK FACILITY 1/1/2011 To 12/31/2011
<br /> nder round ra Tank Emwarfi,
<br /> California Health and Safety Code, Div.20,Chap.6.7 and Title 23,California Code of Regulations,Cha_p._16. _ _
<br /> --------- ------ ------- - - - -- -------- --------- -----
<br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2362 1 390002326010260101 PT0006437 12,000 DIESEL Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 2 390002326010260102 PT0006438 12,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED continuous Interstitial Monitoring
<br /> 2360 3 390002326010260103 PT0006439 15,000 REGULAR UNLEADED Active,billable DOUBLE WALLED continuous Interstitial Monitoring
<br /> _.._._ ..i,. V
<br /> Underground Storage Tank Permit Conditions
<br /> 1) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid and/or the UST systems)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 goy conditions
<br /> established by San Joaquin County. -
<br /> 3) If the Tank Opemmr(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 both
<br /> the Tank Owner and tank Operator receive a copy of the permit.
<br /> 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Depamnent(EHD)and are considererd UST Permit Conditions. The approved
<br /> monitoring,response,aid plot plans shall be maintained onsite with Bre permit
<br /> 5) The Permittee shall comply with the monitoring procedures referenced N 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 equipment manufacturer,and
<br /> provide documentation of such servicing to this office.
<br /> 7) In the event of a spill,leak,or other unauthorized release,the Permitee shall comply with the requirements of Title 23 CCR,Chap. 16,Art.5,and the approved Emergency Response Plan.
<br /> 8) Written records of all monitoring performedshall 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
<br /> performed.
<br /> 9) The EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such charge.
<br /> 10) Upon any change in equipment,design or operation of the UST system(including change in Lank 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 animal report documenting compliance with the UST Pernut Conditions within 30 days of the date of the issuance of this permit.
<br /> 13) Tbis 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(s) indicated.
<br /> PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s)Valid only for: PHAN, DIANA HUYENTHANH
<br /> DBA: WEST LANE VALERO
<br /> THIS FORM MUST RE DISPLAYED CONSPICUOUSLY ON TILE PREMISES
<br /> Regulated Facility WEST LANE VALERO* Facility ID FA0004525.
<br /> 9484 WEST LN Account ID AR0004216
<br /> STOCKTON CA 95210 Issued 2/4/2011
<br /> Billing Address: ATTN PHAN, DIANA HUYENTHANH
<br /> WEST LANE VALERO*
<br /> 27391 WALNUT CT
<br /> TRACY CA 95304
<br /> 702s.mt
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