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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 304 E.Weber Avc.,Third Floor•Stockton,CA 95202-2708* Phone(209) 468-3420
<br /> Donna Horan, ILE.H.S., Director
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CER'T'IFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit Pcnnit
<br /> Record ID Nomher Proltram Code and Description Valid
<br /> PRO518454 PT0012031 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2003 To 12/31/2003
<br /> Hazardous Waste Generator Program:
<br /> California Health and Safety Code,Div_20,Chap.6.5 ,Art.2-13,Sec:25100 et seq,and Title 22,California Code of Regulations,Chap_20_
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<br /> PR0231948 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2003 To 12/31/2003
<br /> Underground Storage Tank Program:
<br /> California Health and SafetCode, Div.20,Chap.6.7 and Title 23,California Code of Regulations,Chap: 16._
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<br /> V/F,
<br /> -- ---- ------ ----P/t: 'lank/I Tank Record ID Permit 9 Capacity Contents Permit Status System Type Leak Detcclion
<br /> 2360 6 390002319480194806 PT0005203 10,000 MIDGRADE UNLEADED Active,billable DOUDLE WALLED Continuous Interstitial Monitoring
<br /> 2360 5 390002319480194805 PT0005202 10,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Conlinuous Interstitial Monitoring
<br /> 2362 4 390002319480194804 PT0005201 10,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> Underground Storage Tank Permit Conditions
<br /> 1) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid and/or the UST syslem(s)fails to remain in compliance with these I'enni(Conditions.
<br /> 2) In order to maintain live operating permit,the owncr and olverator shall comply with the I IRIS Code,Div.20,Chap.6.7 and 6.75;and CCR,Title 23,Chap. 16 and 19,as well as any conduions
<br /> established by San Joaquin County.
<br /> 3) If the Tank Operator(s)is different from(he Tank Owncr,or if the Permit to Operate is issued to a person other than the owner or operator of the tank,the Pcrmitice shall ensure that txm(h
<br /> the Tank Owner and tank Operator receive a copy of the pcnnit.
<br /> 4) Written Monitoring Pmccdures and an Emergency Response Plan mast be approved by the Environmental I Icalth Department(E11D)and arc considercrd UST Permit Conditions. The approved
<br /> monitoring,response,and plot plans shall be maintained onsite with the permil.
<br /> 5) lire Permittee shall comply with the monitoring procedures referenced in this permit.
<br /> -6) The Permittee shall perforin 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 ora spill,leak,or other unauthorized release,the Permitee 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 EI ID shall 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 lank contents or usage),the fermi(to Operate will be subject to review,modification or
<br /> 1 1) C%01%L9lbn,repair and/or removal permits are required from the HID prior to any change,repair or removal of UST systcnm equipment.
<br /> 12) 'ncc Pcrmillce shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the anniversary dale 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,State or Local agency.
<br /> 14) A"Conditional"Permit may be revoked if corrections specified on the inspection report arc not comple(ed by the dale(s) indicated.
<br /> PERMITS TO OPERATE are NOT TRANSFERABLE
<br /> and may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s)Valid only for: USA PETROLEUM CORP
<br /> Tank Owner: USA GASOLINE#3696
<br /> -1-111S FORM Mus'r IIF.DISPLAYFI)CONSPICUOUSI.v ON TIIF PRh:MISN s
<br /> Regulated Facility: USA GASOLINE#3696 Facility ID FA0003855
<br /> 2448 W KETTLEMAN LN AccounLID AR0003443
<br /> LODI, CA 95240 Issued 5/13/2003
<br /> Billing Address:
<br /> USA GASOLINE #3696
<br /> 30101 AGOURA CT #200
<br /> AGOURA HILLS, CA 91301
<br /> 7023.rpt
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