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SAN JOA*. IN COUNTY PUBLIC HEALTH S#ICES <br /> 304 E.WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 • PHONE(209) 468-3420 <br /> KAREN FURST,M.D.,M.P.H., HEALTH OFFICER <br /> DONNA HERAN,R.E.H.S.,DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> umu <br /> Valid <br /> -Te-mit Code and Descriptionrogram NumberReordlD Program <br /> 111100 To 12131/00 <br /> PR023145 2300-UNDERGROUND STORAGE TANK FACILITY <br /> Underground Storage Tank Program: <br /> - <br /> California Health and Safety Code Div.20,Chap.6.7 and Title 23 California Code of Regulabon�r_as us ys m ype - ea a ec Ion <br /> __ ___.__ _ ___ e_- _ apa ly nen - <br /> a or <br /> c Ive <br /> 2360 4 390002314580508098 PT0009523 9,000 <br /> 236U 0 REGULAR UNLEADED Active DOUBLE WALLED TANK TESTING <br /> Underground Storage Tank Permit Conditions <br /> /or the UST systems)fails to remain in compliance with <br /> 1) The Permit to Operate will become void if Annud Permit Fees and Service Fees are not paid and <br /> it <br /> these Permit CondrrorLs. <br /> 2) In order to maintain the openating permit,the permit holder shall comply with the H&S Code,Div.20,Chap.6.7 and 6.75;and CCR Title 23,Chap. 16 an <br /> 18,as well as any conditions established by San Joaquin County. <br /> 3) Porhe Ta sh PI ensureemtos)istdboth the firm Tank Ownerkand tank or if the OperatorPreceive aOcporpy of the permit enue is issued to a person other than the owner or operatorof the tank,the <br /> Health <br /> nts <br /> 4) UWritten ST Per Monitoring <br /> C ndlgtions. Copies and an of the Procedures ami EmergeRes onse lan must be ncy Response PI'an musoved t be athe ttached oethistpermit Division <br /> r besavaiable for rlevlew and/or d arc rinspecd�on <br /> UST site. <br /> 5) �hc th 5'ertnittee shall comply with the monitoring procedures referrenced in this permit. <br /> 6) The Permittee shall perform testing and preventivemaintenance on all leak detection monitoring equipment annually,or more frequently if specified by the <br /> equipment manufacturer,and 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 <br /> approved Emergency Response 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 <br /> from the date the monitoring was performed. <br /> 9) The PHS/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 tank contents or usage),the Permit to Operate will be subjectto <br /> review,modification or revocation. <br /> 11) Construction,repair and/or removal permits are required from the PHS/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 <br /> of this permit. <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 date(s) indicated. <br /> PERMITS TO OPERAT�areNOT TRANSFERABLEandmay beSUSPENDVOKED for cause. <br /> PERMIT(s)Valid only for. ELDER, FASSEL M <br /> DBA: RAINWATER MINI MARKET <br /> Tank Owner: ELDER, PHIL <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Facility ID FA0001196 <br /> Regulated Facility: RAINWATER MINI MARKET Account ID AR0001195 <br /> 420 W YOSEMITE AVE Issued 912812000 <br /> MANTECA, CA 95336 <br /> Billing Address: ATTN : RAINWATER MINI MARKET <br /> RAINWATER MINI MARKET <br /> 420 W YOSEMITE AVE <br /> MANTECA, CA 9c;-Qs . <br /> 7023.rpt <br />