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. - SAN JOAQUIN COUNTY ENVIRO�rtiiENTAL HEALTH DEPARTMENT <br /> 304 E.Weber Ave.,Third Floor• Stockton,CA 95202-2708 • Phone(209)468-3420 <br /> Donna Heron, RF-H.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 Valid <br /> PR0514399 PT0010602 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2004 To 12/31/2004 <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,Art.2-13, <br /> Sec_25100 et seq,-and Title 22,California Code of Re9_yI tions,Chap.20: _________________________________________________________________________________ <br /> PRO506004 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2004 To 12/31/2004 <br /> Underground Storage Tank Program: <br /> California Health and Safety Code,Div.20,Chap.6.7 and Title 23,California Code of Regulations,Chap:16. __ _________________________ <br /> RE Tank# Tank Record ID Permit# Capacity Comers Permit Status System Type Leak Detection <br /> 2300 3 390005060040506007 PT0008495 10,000 =�=L Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> 2362 1 390005060040506005 PT0008494 20,000 REGULAR UNLEADED Active,billable DOUBLEWALLED Continuous Interstitial Monitoring <br /> EP.tiU!.t UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> 2360 2 390005060040506006 PT0008493 10,000 PR <br /> Underground Storage Tank Permit Conditions <br /> I I The Permit to Operate will become void if Annual Permit Fees and Service Fees are not d and/or the UST system(s)fails to remain in compliance with these Permit Conditions. <br /> 2) In order to maintain the operdting permit,the owner and operator shall comply with the H tiS C,,e.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 i&:__d to a person other than the owner or operator of the ta;rik.the Pennittee 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 b}the=^, vnnxntal 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 Permittee shall comply with the monitoring procedures referenced in this permit- <br /> 6) <br /> ermit6) The Permittee shall perform testing and preventive maintenance on all leak detection r„era:onng 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 Permitee shall comply w: _.erequirements of Title 23 CCR,Chap.16,Art.5,and due approved Emergency Response Plan. <br /> 8) Written records of all monitoring performed shall be maintained on-site by the oper3107 2:.d ce available for inspection for a period of at least three ve ars from the date the monitoring was <br /> performed. <br /> 9) The EHD shall be notified of any change in ownership or operation of the CST system days of such change. <br /> 10) Upon any change in equipment,design or operation of the UST system(including char_in tank contents or usage),the Permit to Operate will be subject to review,modification or <br /> 1 1) Ceb'&9&iglbn,repair and/or removal permits are required from the EHD prior to an-.charge.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 date of the issuance of this pear iL <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 inspections port re 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: NEW WEST PETROLEUM <br /> DBA: FLAG CITY NEW WEST <br /> THIS FORM D1UST BE DISPLAI`ED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: FLAG CITY SHELL FacOtty ID FA0007140 <br /> 6437 W BANNER ST Account ID AR0010355 <br /> LODI, CA 95242 L--ed 4/1/2004 <br /> Billing Address: <br /> FLAG CITY SHELL <br /> 1831 16TH ST <br /> SACRAMENTO, CA 95814 <br /> 7023,rpt <br />