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SAN JC( f 'UIN COUNTY PUBLIC HEALTH IVICES <br /> 304 E.WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 • PHONE(209) 468-3420 <br /> KAREN FURST M.D.,M.P.H., HEALTH OFFICER <br /> DONNA RERAN, k.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <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 /> PR0232510 2300-UNDERGROUND STORAGE TANK FACILITY 111101 To 12/31101 <br /> Underground Storage Tank Pr ram: <br /> California Health and Safety Code Div.20,Chap_6.7 and Title 23 Califomia Code of Regulations Chap. 16. <br /> - ---- - -- -------- - ---------- <br /> WE Tank# Tank Record ID Permit# CapacityContents Permit Status <br /> 2360 2 390002325100504988 PT0007610 7,000 UNLEADED Active <br /> 2360 3 390002325100251003 PT0005609 5,000 PREMIUM UNLEADED Active <br /> 2362 1 390002325100251001 PT0005608 12,000 DIESEL Conditional <br /> Underground Storage Tank Permit Conditions <br /> 1) The Permit to Operate wig become 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 <br /> Conditions, <br /> 2) In order to maintain the operating permit,the permit holder shall comply with the H&S Code,Div.20,Chap.6.7 and 6.75;and OCR,Title 23,Chap. 16 and 18,as well as <br /> anyconditions 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 issued to a person other than the owner or operator of the tank,the Permittee shall <br /> ensure that both the Tank Owner and tank Operator receive a copy ofthe permit. <br /> 4) Written vlonitpring Procedures and an Emergency Response Plan must be approved bythe Environmental Health Division(PHSlEHD)and are considererd UST Permit <br /> Conditions. Copies ofthe Procedures and Emergency Response Plan must be attached to this permit or be available for review and/or inspection at the UST site- <br /> 5) The Permittee shall comply with the monitoring procedures referrenced in this permit. <br /> 6) The Pernuttee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently if specified bythe equipment <br /> manu facturer,and provide documentation of such servicing to this office. <br /> 7) In the event of a spill,leak,or other unauthorized release,the Permitee shad comply with the requirements of Title 23 CCR,Chap, 16,Art.5,and the approved Emergency <br /> Response Plan. <br /> 8) Written records of all monitoring performed shall be maintained on-site by the operatorand be available for inspection fora period of at least three years from the date the <br /> monitoring was performed. <br /> 9) The PHS/EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change. <br /> 10) Upon anychange in equipment,design or operation ofthe UST system(itrcluding change in tankeontents or usage),the Permit to Operate will be subject to review, <br /> modification or revocation. <br /> 11) Construction,repair and/or removal permits are required from the PHS/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 ofthe issuance ofthis 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: MRM ENTERPRISES <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: MRM ENTERPRISES Facility ID F'A0003924 <br /> 4733 HWY 99 Account ID AR0003516 <br /> STOCKTON. CA 95205 Issued 312912001 <br /> Billing Address: ATTN - MRM ENTERPRISES <br /> MRM ENTERPRISES <br /> PO BOX 276 <br /> CERES, CA 95307 <br /> 7023.rpt k. a <br /> fk <br />