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<br /> SAN JOAQUIl190UNTY ENVIRONMENTAL HEALT®EPARTMENT
<br /> 600 E. Main St, • Stockton, CA 95202-3029 • Phone(209)468-3420
<br /> Donna Heran,R.E.H.S.,Director
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit Permit
<br /> Record to Number Program Code and Description Valid
<br /> PRO527197 PT0019015 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2011 To 12/31/2011
<br /> Hazardous Waste Generator Program
<br /> In order to intairith rmit to operate,Hazardous Waste Generators shall comply with California Health and Safety Code,Div.20,Chap,6.5,Art.2-13,
<br /> Se
<br /> 00 pt Title ,California Code of Regulations,Chap.20___
<br /> --.... -- -f Be C-- ---------- - -------------------------------------------- ------- -------
<br /> PRO524617 00-UNDERGROUND STORAGE TANK FACILITY 1/1/2011 To 12/31/2011
<br /> Underground Storage Tank Program:
<br /> California Health and Safety Code,Div,20,Chap.6,7 and Title 23,California Code of Regulations,Chap, 16_ __
<br /> -- -------- ----- - -------- ---------------------
<br /> I P/E Tank# Tank Record ID Permit# Capacity Contents .Permit Status System Type Leak Detection
<br /> 2352 1 390005246170515787 PT0016813 20,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2350 2 390005246170515788 PT0016812 12,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2350 3 390005246170515789 PT0016814 10,000 DIESEL Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> RQE ID#. 44041169-W,
<br /> Underground Storage Tank Permit Conditions
<br /> t) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid and/or the UST systems)fails to remain in compliance with these Permit Conditions.
<br /> 2) is order to maintain the operating permit,the owner and operator shall comply with the H&S Code,Div.20,Chap.6.7 and 6.75;and CCR,Tide 23,Chap.16 and 18,as well as any conditions
<br /> established by San Joaquin County.
<br /> 3) If the Tank Operators)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 lank,the Permittee shall ensure that both
<br /> the Tank Owner and tank Operator receive a copy of the permit
<br /> 4) Written Monitoring Procedures and an Emergency Response Plan most be approved by the Environmental Health Department(EHD)and me considererd UST Permit Conditions. The approved
<br /> monitoring,response,and plot plans shall be maintained onsite with the permit.
<br /> 5) The Penniftee shall comply with the monitoring procedures referenced 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 manufacturer,and
<br /> provide documentation of such servicing to this office.
<br /> 7) In the event of a spill,leak,or other unauthorized release,the Perronce shall comply with the requirements of Title 23 CCR,Chap.16,An.5,and the 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 from the date the monitoring was
<br /> performed.
<br /> 9) The EHD shag 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 and;contents or usage),the Permit to Operate will be subject to review,modification or
<br /> revocation.
<br /> 1 1) Construction,repair and/or removal permits are required fmm the EHD prior to any change,repair or removal of UST system equipment.
<br /> 12) The Permittee shall submit an=net report documenting compliance with the UST Permit Conditions within 30 days of the time of the issuance of this permit.
<br /> 13) This Permit to Operate shall not be considered permission m violate any laws,ordinances or statutes of any other Federal,Slate 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 may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s)Valid only for: RALEYS
<br /> DBA: RALEY'S
<br /> Tank Owner: RALEYS FAMILY OF FINE STORES
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility: RALEYS FUEL STATION#356 Facility ID FA0016523
<br /> 4219 E MORADA LN Account O AR0029109
<br /> STOCKTON CA 95212 Issued 2/4/2011
<br /> Billing Address: ATTN : RALEY'S
<br /> RALEYS FUEL STATION #356
<br /> 500 W CAPITOL AVE
<br /> - SACRAMENTO CA 95605
<br /> 7023.rpt „
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