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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.Weber Ave.,Third Floor• Stockton, CA 95202-2708• Phone (209) 468-3420 <br /> Donna Hexes, REH.S.,Dimcror <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Program Permit Permit <br /> Record ID Number Program Code and Description Valid <br /> PRO518421 PT0012010 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2004 To 12/3112004 <br /> Hazardous Waste Generator Program: <br /> In order to maintain the permit to operate,Hazardous Waste Generators shall comply with California Health and Safety Code,Div.20,Chap.6.5,ArL 2-13, <br /> Sec.25100 et seq,and Title 22.Califomia Code of Regulations,Chap,20,-------------------- <br /> PR0231072 2300-UNDERGROUND STORAGE TANK FACILITY 111/2004 To 12/318004 <br /> Underground Storage Tank Program: <br /> California Health and Safety Code,Div.20,Chap.6Jacid Title 23,California Code of Regulations,Chap_16. <br /> P,E Tank 9 Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection <br /> 2362 5 390002310720505812 PT0008344 12,000 REGUL--R UNLEADED Conditional DOUBLE WALLED Continuous lntenuz. bwronng <br /> 2360 6 390002310720505813 PT0008343 8,000 PREMILIA UNLEADED Conditional DOUBLE WALLED cmunueus mtenu:w bwcoring <br /> 2360 7 390002310720505814 PT0008342 4,000 =.=SEL Conditional DOUBLE WALLED Continuous lntem--a W4 ntonng <br /> BOEID#b 44-011018 <br /> Underground Storage Tank Permit Conditions <br /> 1) The Permit to Operate will become void if Annual Permit Fees and Service Fees are ro-:Daid and/or the UST system(s)fails to remain in compliance with these Permit Condi:ieri. <br /> 2) In order to maintain the operating permit,the owner and operator shall comply with the E:-c Code.Div.20.Chap.6.7 and 6.75;and CCR.Title 23,Chap.16 and I S.as well as am'cce litters <br /> established by San Joaquin County. <br /> 3) If the Tank Opemtor(s)is different from the Tank Owner,or if the Permit to Operate is-rued to a person other than the owner or operator of the tank,the Perniree 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 must be approved by the nmvorrmental Health Depot- at(EHD)and are considererd UST Perrrdt Conditioru. The appro,ed <br /> monimring,response,and plot plans shall be maintained onsite with the Permit. <br /> 5) The Perrtuttee shall comply with the monitoring procedures referenced in this Perim <br /> 6) The Permittee shall perform testing and preventive maintenance on all leak detection=,c itoring equipment annually,or more frequently if specified by the equipment manufac:mr,and <br /> provide documentation of such servicing to this office. <br /> 7) In the event of a spill,leak,or other unauthorized release,the Perm me shall comply w9zh the requirements of Title 23 CCR.Chap.16,An.5,and the approved Emergency Response Plan. <br /> 9) 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 any change in ownership or operation of the UST system wr.-r 30 days of such change. <br /> 10) Upon any change in equipment.design or operation of the UST system(including cha,_._in tank contents or usage),the Permit to Operate will be subject to review,modification or <br /> 11) Cd'ERL9116n,repair and/or removal permits are required from the EHD prior to any changes repair or removal of UST system equipment. <br /> 12) The Pemdnee shall submit an annual report documenting compliance with the UST Permit Cnnditiow 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.State 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: USA PETROLEUM CO <br /> Tank Owner: PALISADES GAS AND WASH <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility. USA GASOLINE#835 Facility ID FA0002048 <br /> 2705 COUNTRY CLUB BLVD Account ID AR0003410 <br /> STOCKTON, CA 95204 Issued 4/112004 <br /> Billing Address: <br /> USA PETROLEUM CO <br /> 30101 AGOURA CT <br /> AGOURA HILLS, CA 91301 <br /> 7023.rpt <br />