SITE INFORMATION AND CORRESPONDENCE

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SAN JO1IN COUNTY PUBLIC HEALTH '%,/tVICES 304 E. WF,BER AVE.,THIRD FLOOR • STOC'KTON,CA 95202 • PHONE(209) 468-3420 KAREN FURs-r, M.D., M.P.H., HEALTH OFFICER DONNA FIERAN. R.I .i I.S., DIRT-cr-t ENVIRONMENTAI. IIF.A]Tii DIVISION ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE rogram permit Itc,�nrd I I t Numher Program Code and Descriplion l3crniiValid t PR023255 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/00 To 12/31/00 Underground Storage Tank Program: California Health and Safety Code Div.20, Chap. 6.7 and Title 23 California Code of Regulations Chap 16. 117. 1 ank if I an Icor( cnnr apacr y 11cinift Mau" us z3bu 3 390002325 2 P10004055 12,000 UNLEADED c ive 2360 2 3900023255$255502 PT0004054 12,000 UNLEADED Active 2360 1 39000232555 55501 PT0004053 12,000 UNLEADED Active Underground Storage Tank Permit Conditions ' I) 77te Permit to Operate will became void if Annual Permit Fees and Service Fees are not paid and/or the UST system(s) fails to remain in compliance with these Permit Condition.,. 2) in order to maintain the operatingpermit,the peon it holder shall corn ply with the I I&S Code, Div.20,Chap. 6.7 and 6.75;and CCR,Title 23,Chap. 16 and 18,as well as any conditions established by San Joaquin County. 3) ifthe'rank Operator(s)is dificren(from the Tank Owner,or ifthc Pennit to Operate is issued to a person other than the owner or operator of the tank,the Permittee shall ensure that both fhc Tank Owner and tank Operator receive a copy of the permit. 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the[atvironntenlal Health Divisiai(PIIS/A ID)and arc considererd UST Permit Conditions. Copies ofthe Procedures and Emergency Response flan must be attached to this permit or be available for review and/or inspection tPserh7- rte. 5) �lhe ermrtfee shall comply with the monitoring procedures relerrenced in this permit. 6) The Permittee shall perform test0i&and preventive maintenance on all leak detection monitoring equipment annual ly,or more Frequently ifspecified by file equipment manufacturer,and provide documentation ofsuch servicing to this office. 7) In the event of 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. 8) Written records of all monitoring performed shall be maintained on-site by the operator and be available for inspection for a period ofat least three years From the(Lite the monitoring was performed. 9) 'rhe PI IS/EI ID shall he notified of any change in ownership or operation of the UST system within 30 days of such change. 10) Upon any change in equipment,design or operation of the UST system (including change in tank contents or usage),the Pennit to Operate will he subject to review,modification or revocation. 1 1) Construction,repair and/or removal permits are required from the PI IS/F1-ID prior to any change,repair or removal of UST system equipment. 12) -Ile Permittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days oftheannivcrsary daleofthe issuance ofthis permit. 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. 14) A"Conditional"Permit may be revoked if corrections specified on the inspection report are not completed by the dale(s) indicated. PERMITS TO OPERATE are NOT TRANSFERABLE and !nay be SUSPENDED or REVOKED for cause. PERMIT(s) Valid only for: PHAN, NHUAN T& PHAN, DUNG T DBA CALIFORNIA STOP Tank Owner: LE, NHUAN T & PHAN, DUNG T THIS FORM MUST RE DISPLAYED CONSPI('UOt1SLY ON THE PREMISES Regulated Facility: CALIFORNIA STOP Facility ID FA0003679 2224 MANTHEY RD Account ID AR0003257 STOCKTON, CA 95206 Issued 10/9/2000 Billing Address: A NHUAN E/DUNG T PHAN CALIF 20 NAVEA OCKTON, C 206 7023 rpt