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`► SAN J( UiN COUNTY PUBLIC HEALM*VICES 304 E.WEBER AV ., ,H4pD FLOOR • STOCKTON,CA 95202 s PHONE(209)468-3420 KAREN FURST,M.D., M.P.H., HEALTH OFFICER L DONNA HER64, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION C� ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE rogramn ermit erm Record ID Number Program Codeand Description Valid PR023130 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/00 To 12/31/00 Underground Storage Tank Program: California Health and Safety Code Div. 20,Chap.6.7 and Title 23 California Code of Regulations Chap. 16. tank RecomPermits, Capacity (.10111clits PerninNimussystem I ype LCA[Jetion Active SINGLE WALLLU VISUAL CHECK 2360 3 390002313000515100 PT0010749 9,000 REGULAR UNLEADED Active SINGLEWALLED Underground Storage Tank Permit Conditions 1) The Permit to Operate wil I 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. 2) In order to maintain the operatingpermit,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 18,as well as any conditions established by San Joaquin County. 3) If the Tank O�cmtor(s)is different from the Tank Owner,or if Penn it 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 Reonce Plan must be approved by the Environmental Health Division(PHS/EHD)and are considerer) UST Permit Conditions. Copies of the Procedures andnrergency Response]'tan must be attached to this permit or be available for review and/or inspection 5) theNUrm et shall comply with the monitoring procedures referenced in this permit. 6) The Permittee shall perform testing,and preventive maintenance on all leak detection monitoring equipment annually,a more frequently if specified by die equipment manufacturer,and provide documentation of such servicing to this office. 7) In the event of a spill,leak,orother unauthorized release,the Pemtitee shall comply with the requirements of Title 23 CCA 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 PHS/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 revocation. 11) Construction,repair and/or removal permits are required from the PHS/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 Permit Conditions within 30 days of the anniversary date of the issuance of this permit. 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. 14) A"Conditional"Permit 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: LAL, JOGINDER DBA: MY MINI MART Tank Owner: MATHARU, PARMJEET S THIS FORM MAST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES Regulated Facility: MY MINI MART Facility ID FA0001858 1756 N WILSON WY Account ID AR0001864 STOCKTON, CA 95205 Issued 10/5/2000 Billing Address: ATTN : ANNETTE HOAG MY MINI MART 7201 PACIFIC AVE STOCKTON, CA 95202 7023.rpt 0 0