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SIP SAN JOAJOUNTY ENVIRONMENTAL HEALTH DEPARTMENT 304 E.Weber Ave.,Third Floor• Slndrum,CA 95202-2708• Phone(209)468-3420 Donna Haan,REH.S.,Director NXIRONMENTAL HEALTH SAN J AQU COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Program Permit Permit Record ID Number Program Code and Description Valid PR0231458 - 2300-UNDERGROUND STORAGE TANK FACILITY 91312002 To 12/3112002 Underground Storage Tank Program• California Health and Safety-Code Div.20.Chap.6_7 and Title 23 California Code of Regulations Chap.16._ rankRecord ID Permit 4 Capacity Contents Permit Status System I ype Leak 1)etechon 2360 5 390002314580508099 PT0009524 6,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring 2362 4 390002314580508098 PT0009523 9,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monilodng Underground Storage Tank Permit Conditions 1) The Permit to Operate will become void if Annual Permit Fecs and Service Fees are not paid and/or the UST syslem(s)fails to remain in compliance with these Permit Conditions. 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,av well in any conditions established by San Joaquin County. 3) If the Tank Opersum(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 Peredtiee 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 are considererd UST Permit Conditions. The approved monitoring,response,and plot plans shall be rnaiooined onsite with the permit. 5) The Permittee shall comply withthemonitoring procedures referenced in this peirnil. 6) The Pennines shall perform testing and preventive tamale since on all leak delection 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 Patentee shall comply with the requirements of Title 23 CCR,Chap.16,An.5,and the approved Emergency Response Plan. 8) Written records of all monitoring performed shall be maintained on-site by the operator and he available for inspection for a period of at least three years from the dale the monitoring was performed. ' - 9) The HUD shall be notified of my 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 re mcath - 11) Construction,repair and/or removal p waits are required from the EHD prior to any change,repair or removal of UST system equipment. 12) The Perninee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the anniversary dale of the issuance of this permit. 13) This Permit to Operate shall not he considered permission to violate any laws,ordirerces or statutes of my 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: SINGH, HARJIT DBA: A-1 LIQUOR GAS & FOOD MART Tank Owner: ELDER, PHIL THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES Regulated Faciiity: A-1 LIQUOR GAS& FOOD MART FacultyID FA0001196 420 W YOSEMITE AVE Account ID AR0001195 MANTECA, CA 95336 Issued 9/23/2002 Billing Address: ATTN : HARJIT SINGH A-1 LIQUOR GAS & FOOD MART 420 W YOSEMITE AVE MANTECA, CA 95336 7023.rpt