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<br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT -
<br /> 304 E.Weber Ave.,Third Floor 6 Stioc wn,CA 95202-2708 0 Phone(209)468-3420
<br /> Donna Henan,REH.S.,Dirruor
<br /> EllNVIRONMENTAL.]HEAL
<br /> T -I
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIEID PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit Permit
<br /> l Record ID Nu t". Program Code and Description
<br /> Valid
<br /> PRO51857 PT0012113 2220-SMALL QUNTITY HAZARDOI�S WASTE GENERATOR FACILITY 1/1/2007 To 12/3112007
<br /> kiazardous<Waste Generator Program:
<br /> In ord4r'to thaintain the permit to operate,Hazardous Waste Generators shill comply with California Health and Safety Code, Div.20,Chap.6.5,'illtt 2-f3; "
<br /> See.25100 et seq,-and Title 22,California Code of Regulations Chap_A
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<br /> PR02112519 2300-UNDERGROUND STORAGE TANK"IPACILITY 1/1/2007 To 12/31/2007
<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.
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<br /> PTE Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2362 1 390002325190251901 PT0006769 12,000 REGULAR UNLEADED Active,billableDOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 2 390002325190251902 PT0006771 12,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 3 390002325190251903 PT0006773 12,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> Underground Storage Tank Permit Conditions
<br /> 1) The Permit to Operate will become void if Annual Permit Fees and Service Fees,ahe not paid and/or the UST system(s)1114s to;remain in compliance with these Perrtiit Conditions.
<br /> 2) In order to maintain the operating permit,the owner and operator shall comply witli#*H*S Code,Div.20,Chap.6.7 and 675 aid 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 Operao isissued 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 dpSiWironmental 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) 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 of such 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,Art.5,and the approved Emergency Response Plan.
<br /> 8) Written records of all monitoring performed shall be maintained ora-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 within 30 days of such 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 /> revocation.
<br /> 11)_ Construction,repair andlorremoval permits are required from the,OW prior to any chapge repair or removal of UST system equipment:
<br /> 12) The Permittee shall submit an annual report documenting compliance with the UST'Permif Conditions 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;ordinanca:or statutes of any other Federal;State or Local agency.
<br /> 14} A"Conditional"Permit may be revoked if correetidoss*ified on the inspection report are not completed by the date(s) indicated.
<br /> PERMITS TO OPERATE are NOT TRANSFERABLE
<br /> And`maybe SUSPENDED or REVOKED for cause ,
<br /> PERMIT(s)Valid only for: JBS:PETRO INC
<br /> DBA: BILL'S 16
<br /> Tank Owner: WOOLSEY OIL INC
<br /> T.$IB"FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility: BILL'S Mt .. Facility ID FA0000483
<br /> 633 E VICTOR ISD'#A Account lD AR0010576
<br /> LODI CA 95240 . Issued 2/1.3/2007
<br /> Billing Address: ATTN JBS PETRO INC
<br /> BILL'S 76
<br /> 633 E VICTOR RD STE A
<br /> LODI CA 952-40
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