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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 600 E. Main St. • Stockton, CA 95202-
<br /> 3029 9 Phone(209)468-3420
<br /> Donna Heran, R.E.H.S.,Director
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY
<br /> CERTIFIED UNIFIED PROGRAM AGENCY
<br /> Program Permit PER
<br /> Record IDATE
<br /> Number Program Code and Description
<br /> PR0527197 PT0019015 *CORREC **
<br /> Hazardous Waste Generator Pro,,i MALL QUANTITY HAZARpO $ Permit
<br /> In,
<br /> n order to maintain the ermit to o e WASTE GENERATOR FACILITY valid
<br /> To
<br /> Sec.2 seq,and Title Operate,Hazardous Waste Generators shall comply with California Health and Safe Code,Div.20,Chap.6 5 12/31/2008
<br /> - ----- ".. rma Code Of Regulations,Chap.20.
<br /> P 0524617 �-�- "" -------------- �,
<br /> 230 -___ ---------------------- -_
<br /> DERGROUND STORAGE TAN ----- ---------_ P.____.Art.2-13, --
<br /> ro ram: K FACILITY
<br /> California Health and Safety Code, Div_20Chap.6.7 and Title 23, California Code of Re ulations, Cha
<br /> -" 1/1/2008 To 12/3
<br /> PB Tan # Tank Record ID 1/2008
<br /> Permit# - P. 16.
<br /> 2352 1 Capacity - - ----
<br /> 390005246170515787 Contents
<br /> 350 2 PT0016813 20,000 REGU Pertmt Status -`-'-'
<br /> 2350 390005246170515788 PT0016812 LAR UNLEADED System Type Leak Detection
<br /> 3 390005246170515789 p 12.000 PREMIUM UNLEADED AcLve, billable DOUBLE WAGGED
<br /> T0016814 10,000 Active,billable DOUBLE WALED conn^oom lntentitial Monitoring
<br /> DIESEL Active, billable DOUBLE WALLED continuous Intaratitlel Monitoring
<br /> Underground Storage Tank Permit Conditions Continuous Interytitlal Monitoring
<br /> 1) The PeMit to Operate will become void if Annual Permit Fees and Service Fees are not
<br /> id
<br /> the UsT
<br /> 2) to orderto��the operating permit,are owner and operator shall comply with the H&SPCodenDivr 20,Chap.6.7 and 6.75;and CCR,Title 23,Chap.16 and there
<br /> as well az any tonditlons
<br /> esfabltshed .6.7ystan s)fails n remain it e 23,Chap, with these Permit Conditions.
<br /> try Sao Joaquin County.3) If the Tank Operators)k different from the Tank Owner,Permit if t Permit to Operate is issued to a person other than the owner or operator of the tank,the Permittee shall ensure that both
<br /> the Tank Owner and tank Operator receive a copy of the permit.
<br /> Wri
<br /> en
<br /> 4) monitoring,ramor�Hand Plots and m El ergmcy Response Plan must permit Proved by the Environmental Health Departrnent(EFID)and are considererd UST Permit Conditions. The a
<br /> rWome,mod plot plans shad or m procedd ,refi with the
<br /> 5) The Pemrittee SMO comply with the morutonn8 Proeedtnes referenced in this permit Pproved
<br /> 6) T71&Permittm Stan Perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently if specified by the equipment manufacturer,and
<br /> provide docrmmrmoo of such servicing to this office
<br /> 7) In the event of a spill,leak,or other unemhoriad release,the Permitee shall comply with the requirements of Title 23 CCR,Chap. 16,An.5,and the approved Emergency Response Plan.
<br /> g) Written records of W 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 shall be mtdi red of any change in ownership or operation of the UST system within 30 days of such change.
<br /> 10) Upoa any ehenge in equipment,design or operatlm of the UST system(including change in tank contents or usage),the Permit to Operate will be
<br /> evacatien
<br /> subject to review,modification or
<br /> 11) Coazmction,repair and/or removal permits are required from the E FID prior to any change,repair or removal of UST system equipment.
<br /> 12) The Perrames shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the date of the issuance of this permit.
<br /> 13) This Permit to Operate shall not be considered permission to violate any laws,ordinances or statutes of any other Federal,Seats 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: RALEYS
<br /> DBA: RALEY'S
<br /> THIS FORM MUST BE DISPLAYED CONSPI�nnarc
<br /> - c rracrvLJC:J
<br /> Regulated Facility! RALEY'S FUEL STATION#356
<br /> 4219 E MORADA LN Facility ID FA0016523
<br /> STOCKTON CA 95212 Account ID AR0029109
<br /> Issued 3/6/2008
<br /> Billing Address; ATTN RALEY'S
<br /> RALEY'S FUEL STATION 4356
<br /> 5%% W MIMI M
<br /> %EW1111 CA 95605
<br />
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