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I v ■R SAN JO IN COUNTY PUBLIC HEALTH VICES 304 E.WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 • PHONE(209) 468-3420 KAREN FURST,M.D., M.P.H., HEALTH OFFICER DONNA RERAN,R.E.H.S.,DIRECTOR ENVIRONMENTAL HEALTH DIVISION ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Permit Valid rogram est Program Code and Description Record ID Number 111100 To 12131100 PR023166 2300-UNDERGROUND STORAGE TANK FACILITY Underground Storage Tank Program: California Health and Safety Code Div.20,Chap.6.7 and Title 23 California Code of Regulations Chap. -6. -- - --- -- - California Wit—-� - - - ---- - - - - I P Y nen Ive DOUBLE WALLED INTERSTITAL MONITOR 2360 6 390002316670508143 PT0009562 12,000 REGULAR UNLEADED Active 311 Underground Storage Tank Permit Conditions 1) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid and/or the UST system(s)fails to remain in compliance with these Permit Conditions. 2) In order to maintain the operating 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 18,W well as any conditions established by San Joaquin County. 3) PerheTw sh P mtor(s)is different both the Tank he era d tank or Operator receive apperate is issued of the permit.a person other than the owner or operator of the tank,the mittee ensu and we alth 4) Written UST Permit itorldaiorLo.Procedures pies of the Proc Emergency Res and Emergeercrd onsePlncy Response vanomust beeattach d oethis 1permit orbe available or rreview and/or nspect on I,�UST site. 5) �Ire""Permrttee shall comply with the monitoring procedures referenced 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 fh servicing to this o pment manufacturer,and provide documentation osucffice. e requirements of Title 23 CCR,Chap. 15,Art.5,and the 7) In the event of a spill,leak,or other unauthorized release,the Pemtitee shall comply with th approved Emergency Response Plan. 8) Waitten it the records sate the mall monitoring o t was performed med shall be maintained on-site by the operator anfrod be available for inspection for a period of at(east three years The PHS/EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change. 9) 9) Upon any change in equipment,design or operation ofthe UST system(including change in tank contents or usage),the Permit to Operate will be subject to 10) 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 ofthe anniversary date ofthe issuance ofthis permit. U) 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 Facility ID FA000212l Regulated Facility: JAMAR SERVICE Account ID AR0002129 4075 E MAIN ST Issued 912812000 STOCKTON, CA 95207 Billing Address: ATTN : MCILRATH, JAY JAMAR SERVICE PO BOX 326 STOCKTON, Clbi&-Q';201-0326 7023.rpt