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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 Heron,REH.S., Director <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 <br /> Valid <br /> PRO518421 PT0012010 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2003 To 12/3112003 <br /> Hazardous Waste Generator Program, <br /> California Health and Safety Code.Div.20,Chap.6,5,Art. Sec_25100 at seg,and Title 22,California Code of Regulations,Chap_20._ <br /> PRO231072 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2003 To 12/31/2003 <br /> Underground Storage Tank Program: <br /> California Health and Safety Code,Div.20,Chap. and Title 23,California Code of Regulations,Chap_ 16. <br /> .-.".'..-- ' ' ------- ---- ' --- ----- -------- -- --------- . .._---- <br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection <br /> 2362 5 390002310720505812 PT0008344 12,000 REGULAR UNLEADED Conditional DOUBLE WALLED Continuous intestinal Monitoring <br /> 2360 6 390002310720505813 PT0008343 8,000 PREMIUM UNLEADED Conditional DOUBLE WALLED Continuous Interstitial Monitonng <br /> 2360 7 390002310720505814 PT0008342 4,000 DIESEL Conditional DOUBLE WALLED Continuous Intiaminial Monitoring <br /> paCI((43111,06 ' <br /> Underground Storage Tank Permit Conditions <br /> I) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid andler the UST system(s)fails to remain in compliance with these Permit Conditions. <br /> 2) In order to maintain the operating permit,dre 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 Opcmlogs)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 must be approved by the Environmental Health Department(EHD)and are considered UST Permit Conditions. The approved <br /> monitoring,response,and plot plans shall be maintained onsite with the permit. <br /> 5) The Penniuce 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 ofsuch servicing to this office. <br /> 7) In the event of a spill,leak,or other unauthorized release,the Permitee shall comply with the requirements of Title 23 CCR.Chap.16,An.5,and the approved Emergency Response Plan. <br /> 8) Written records ofall 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 oroperadon ofthe UST system within 30 days ofsuch 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 /> 11) L &9&1L91bn,repair and/or rem i permits are required fiom the EHD prior to any change.repair or removal of UST system equipment. <br /> 12) The Permittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the anniversary date of the issuance of this permit. <br /> 13) This Permit to Operate shall not be considered permission to violate any laws,ordinances or restores o(any other Federal,State or Local agency. <br /> 14) A"Conditional'Pemtit may be revoked if corrections specified on the inspection report are not completed by the dales) indicated. <br /> PERMITS TO OPERATE are NOT TRANSFERABLE _ <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: PALISADES GAS&WASH <br /> DBA: PALISADES GAS &WASH INC <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 lD AR0003410 <br /> STOCKTON, CA 95204 Issued 5/1/2003 <br /> Billing Address: ATTN a PALISADES GAS & WASH INC <br /> USA GASOLINE #835 <br /> 30101ACOURA CT #200 <br /> AGOURA HILLS, CA 91301 <br /> 7027 rpt <br />