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6 4 <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E.Hazelton Ave. •Stockton, CA 95205-6232 • 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 /> PROS27197 PT0019015 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2013 To 1213112013 <br /> Hazardous-Waste Generator Program <br /> Ynoer to mpppI, the permit to operate,Hazardous Waste Generators shall comply with California Health and Safety Code,Div.20,Chap.6.5,Art.2-13, <br /> 25100 et s�qand Title 22,California Code of Regulalions:Chap.20,( --- ---- ---'---- - ------ ' . "-- ' -' ---'----------------"""-------- <br /> 24617 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2013 To 12131/2013 <br /> Unde o n ora a Tank Pro ram: - <br /> California He th and Safely Code, Div.20,Chap.6.7 and Title 23, California Code of Regulations,Chap. 16. <br /> --' ------------- ---..-..----- ----------------------------- ----- I------------------------ <br /> /E T Tank Record ID Permit 4 Capacity Contents Permit Status System Type Leak Detection <br /> 235 1 390005246170515787 PT0016813 20,000 REGULAR UNLEADED Active,billable DOUBLE-WALL Continuous Interstitial Monitoring <br /> 2350 2 390005246170515788 PT0016812 12,000 PREMIUM UNLEADED Active,billable DOUBLE-WALL Continuous Interstitial Monitoring <br /> 2350 3 390005246170515789 PT0016814 10,000 bIESEL Active,billable DOUBLE-WALL Continuous Interstitial Monitoring <br /> BOE ID#:-44041169 <br /> Underground Storage Tank Permit Conditions <br /> 1) The Permit to Operate will become void if Annual Permit Feu and Service Fees are not paid and/or the UST system(s)fails to remain in compliance with these Permit Conditions. <br /> 2) In 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.Title 23,Chap.16 and 18,as well as any conditions <br /> established by San Joaquin County. <br /> 3) If the Tank Operator(s)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 tank 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 are considererd UST Permit Conditions. The approved <br /> monitoring,response,and plot plans shall be maintained onsite with the permit. <br /> 5) The Pennittee 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 Pennitee shall comply with the requirements of Title 23 CCR,Chap.16,Art.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 shall be notified of my 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 tank contents or usage),the Permit to Operate will be subject to review,modification or <br /> revocation. <br /> 11) Construction,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment. <br /> 12) This Permit to Operate shat l not be considered permission to violate any laws,ordinances or statutes of any other Federal,State or Local agency. <br /> 13) 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 MllST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> RALEYS FUEL STATION #356 FacilitylD FA0016523 <br /> Regulated Facility: <br /> 4219 E MORADA LN Account ID AR0029109 <br /> STOCKTON CA 95212 Issued 2/19/2013 <br /> Billing Address: ATTN RALEY'S <br /> RALEYS FUEL STATION #356 <br /> 500 W CAPITOL AVE <br /> SACRAMENTO CA 95605 <br /> 7c23.mt <br />