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SAN J0101 COUNTY PUBLIC HEALTH W.VICES <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 /> Permit <br /> Program permit Program Code and Description Valid <br /> Record 11) Number 1/1101 To 12/31/01 <br /> PR0231173 2300•UNDERGROUND STORAGE TANK FACILITY <br /> Underground StoM991211k Program: <br /> California Health and Safe Code Div.20,Cha .6.7 a_nd Title 23 Califomia Code of Regulations Chap_16_ _ ___ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ <br /> ---omiaHe - P <br /> P/E Tank# Tank Record ID Permit# Capacity Contents Perini[Status <br /> 2360 6 390002311730504864 PT0007425 10.000 REGULAR UNLEADED Active DOUBLEWALLED INTERSTITAL MONITOR <br /> 2360 5 390002311730504863 PT0007424 10,000 PREMIUM UNLEADED Active DOUBLEWALLED INTERSTRAL MONITOR <br /> 2362 4 3900023117305 4862 PT0007423 10,000 PREMIUM UNLEADED Active <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 USC system(s)fails to remain in compliance with these Permit <br /> Conditions. <br /> 2) In order to maintain the operating permit,the pecmit holder shall comply with the H&S Code,Div.20,Chap.6.7 an d 6.75;and CCR,Title 23,Chap.16 and 18,as we as <br /> any .mndidom established by San Joaquin County. <br /> 3) If the Tank Operator(s)is d ifferent fiom 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 <br /> en sure 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(PRS/EHD)and are considererd UST Permit <br /> Conditions. Copies of the Procedures and Emergency Response Plan must be attached to this permit or be available for review and/or inspection at the USC site. <br /> 5) The Permittee shall comply with the monitoring procedures referrenced 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 by the equipment <br /> menu faclurer,and provide documentation ofsuch servicing to this office. <br /> 7) In the event of a spill,leak,or other unmthorimd release,the Perm itee shall comply with the requirements of Title 23 CCR,Chap.16,Art.5,and the approved Emergency <br /> Response Plan. <br /> g) Written records of all monitoring performed shall be maintained on-site by the opemtorand be available for inspection fora 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 of the USC system(including change in tank contents or usage),the Permit to Operate will be subject In 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 USC Permit Conditions within 30 days of the anniversary date ofthe 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 date(s) indicated. <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: BAFAIZ,SOHAIL/BAFAIZ, KHALIL <br /> Tank Owner: SCHAIL HAFAIZ <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Facility ID FA0006423 <br /> Regulated Facility: MAIN STREET BEACON #474 Account ID AR0009105 <br /> 3440 E MAIN ST Issued 3/29/2001 <br /> STOCKTON. CA 95205 <br /> Billing Address: ATTN : SOHAIL BAFAIZ& KHALIL BAFAIZ <br /> MAIN STREET BEACON#474 <br /> 3440 E MAIN ST <br /> STOCKTON, CA 95205 <br /> 7023.rpt -• 0 <br />