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SAN JOAQtN COUNTY PUBLIC HEALTH SEROCES <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 RERAN,R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE Permit <br /> Program PermitValid <br /> RecordID Number program Code and Description111101 To 12131101 <br /> PR0232573 2300-UNDERGROUND STORAGE TANK FACILITY <br /> Underground Storage Tank Program: <br /> California Health and Safety Code Div_20,Chap:6.7 and Title 23 California Code of RegulatiP C Status System Type Leak Detection <br /> Conten s <br /> P/E Tank# Tank Record ID Yertnn# Ca:,'50 WASTE OIL Active DOUBLE WALLED INTERSTITAL MONITOR <br /> 2362 1 390002325730257301 PT00068I 750 <br /> Underground Storage Tank Permit Conditions <br /> 1) The Permit to Operate wig become void if Annual per it Fees and Service Fees are not paid and/or the UST system(s)Falk to remain in compliance with these Permit <br /> Conditions. <br /> 2) In order to maintain the operating permit,the permit holder shall complywith the H&S Code,Div.20,Chap.6.7 and 6.75;and CCR,Title 23,Chap. 16 and 18,as wen as <br /> any conditions established by San Joaquin County. <br /> ll <br /> 3) If the Tank Opemtor(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 slag <br /> em a=that both 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 Division(PHS/EHD)andare consider ererd sit <br /> Conditions. Copies of the Procedures and Emergency Response Plan must be attached to this permit or be available Por review and/or inspection at the UST site. <br /> 5) The Pemrittee shall comply with the monitoring procedures mierrenced in this permit. <br /> 6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently if specified bythe equipment <br /> 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 approved Emergency <br /> Response Plan. <br /> 8) Written records of all monitoring performed shag be maintained on-site by the operatorand be available for inspection for a period of at least three years from the date the <br /> 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 ofthe USC system(including change intank contents or usage),the Permit to Operate will be subject to review, <br /> 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 ofthis 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 dates) indicated. <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: ORCHARD SUPPLY HARDWARE CORP <br /> DBA: ORCHARD SUPPLY HARDWARE <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Facility ID FA0003941 <br /> Regulated Facility: ORCHARD SUPPLY HARDWARE Account ID AR0003549 <br /> 2650 MACARTHUR DR Issued 3/29/2001 <br /> TRACY. CA 95376 <br /> Billing Address: ATTN : ANN DOWL <br /> ORCHARD SUPPLY HARDWARE <br /> 2650 MAC ARTHUR DR <br /> TRACY, CA 95376. • <br /> 7023.rp1 <br />