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SAN JO*N COUNTY PUBLIC HEALTH�cVICES 304 E.WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 • PHONE(209) 468-3420 KAREN FURST,M.D., M.P.H., HEALTH OFFICER DONNA HERAN,R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Permit ProgramPermit Program Code and Description ValidRecord ID PR0231667NDERGROUND STORAGE TANK FACILITY 111101 To 12/31101 Underground Storage Tan California Health and Safety Code Div.20,Chap,6.7 and Title 23 California Code of Regulations Chap_16_ _____________________________ P/E Tank# Tank Record ID Penni[# Capacity Contents Permit Status 2360 7 390002316670508144 PT0009563 8,000 PREMIUMUNLEADED Active DOUBLE WALLED INTERSTITAL MONITOR 6 390002316670508143 PT0009562 12,000 REGULAR UNLEADED Active Underground Storage Tank Per Conditions 1) The Permit to Operate will become void if Annual Per 6t Fees and Service Fees are not paid and/rr the UST system(s)fails to remain in compliance with these Permit Conditions. 2) In order to maintain the operating permit,the per mit holder shall complywith the H&S Code,Div.20,Chap.6.7 and 6.75;and OCR Title 23,Chap.16 and 18,as well as any conditions established by San Joaquin County. 3) If the Tank Operator(s)is different fiom the Tank Owner,or if the Permit to Operate is issued to a person other than the owner or operator of the tank,9re Permittee 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 must be approved by the Environmental Health Division(PHS/EHD)and are consider ad UST Permit Conditions. Copies of the Procedures and Emergency Response Plan most be attached to this permit or be available for review and/or inspection at the USr site. 5) The Permittee shall comply with the monitoring procedures referrenced in this permit. 6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently if specified by the equipment manufacturer,and provide documentation ofsuch servicing to this office. 7) In the event of a spill,leak,or other unauthorind release,the Permike shall comply with the requirements of Tile 23 CCR,Chap.16,Art 5,and the approved Emergency Response Plan. g) Written records of all monitoring performed shall be maintained on-site by the opermorand be available for inspection fora 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 ofthe USI 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 ofthis 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: MCILRATH,JAY DBA: JAMAR SERVICE Tank Owner: JAMAR SERVICE THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES Regulated Facility: JAMAR SERVICE Facility ID FA0002121 Account ID AR0002129 4075 E MAIN ST STOCKTON. CA 95207 Issued 3129/2001 Billing Address: ATTN : MCILRATH,JAY JAMAR SERVICE PO BOX 326 STOCKTON, CA 95201-0326 7023.rpt