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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DD+PA <br /> 600 E.Main St. • Stockton,CA"%02-3029 o Phone(209)468-3420 <br /> Donna Heran,R.E.H.S., Director <br /> El ] iON11ETAL HEALTH3AN. OAQUIIV COU41 CERTI[FIED UNIFIED PROGRAMA NCY <br /> PERS TO OPERATE <br /> Prggtaaq Permit Permit <br /> Program Code and Description <br /> ReeordZD Number Valid, <br /> PR0514045 PT0010240 2220-SMALL QUANTITY RAZARD-OUS WASTE` ENERAT0R1FACILITY 1/1/2009 To 92/31/2009 <br /> Hazardous Waste GeneEq or!Program: <br /> In order to maintain the peimit to operate, Hazardous Waste Generators shall comply with Californilit,Health and Safety Code,Div.20,Chap.6.5;Art,2-13, <br /> Sec.25100 et seq,and Title 22 California Code of Regulations,Chap.20_ <br /> - ------ --,---- - ---- ------ --- <br /> PR0231070 2300-UNDERGROUND STORAGE TANK FACILITY " 7/1/2009 To 12/3112 . <br /> Underground Storage Tank Prpram: <br /> Caldorllta'Health and Safety Code, Div_20,Chap._6.7 and Title 23,California Code of Regulations,Chap 16 <br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type ak Detection <br /> 2352 9 390002310700515783 PT0016789 8,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitorfgg <br /> 2350 10 390002310700515784 PT0016790 15,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> 2350 11 390002310700515785 PT0016791 7,000 DIESEL Active,billable DOU84E WALLED Continuous Interstitial Monitoring <br /> Underground Stolre Tank Permit Conditions <br /> 1) The Permit to Operate*91 become void if Annual Permit Fepsrand`Sers(ice Fees are not paid and/or the UST systems)fails to remain incompliance with these Permit Conditions. <br /> 2) In order to maintain the o <br /> perming permit,the 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 Operator(s)'is different from the Tank Owner,or if the Permit tq'Operate is issued to a person other thyro 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 appteved by the BnVironmleptal Health Dep>tment(EHD)and are considererd UST Petmit C gods. The approve <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 perforin testing and preventive maintenance on all leak detection monitgrirte"Womtent N isusily,or mpte frequemly if specified by the equipment manufactuiv isud <br /> provide documentation of such servicing to this office: <br /> 7) In the event of a spill,leak,or other utt@ttthbiized release;the Ppmtae shall comply with the regt{ixer11et1tS,oP.;Title 23 CCR,O I6,,P•rt.5,and the apprgved Einer <br /> hap Be11ey Response Plan. <br /> 8) Written records of all monitoring peel metl shall be mpM-"_ped etnl44lbythe:apemlor and b6 ttuailalile fix inSon for a petiodof s<least three years from the date the monitoring was <br /> performed: <br /> 9) The EHD shall be notified of auy change in ownership,or operattom of thew,aystenr witblti 30 days of such change. <br /> 10) Upon any change in equipmemt,'des gn or operation of the UST system{including ohOW-imtimk contents or usage),the Petrmit toOpCrate will be subject to review,modification or- <br /> revocation. <br /> 11) Construction,repair and/or removal permits are required Avinthe•$t�eprifu to anyohtat�;t'epeit of removal ofUST system equipment:_ <br /> 12) The Permittee shall submit au'8nnual.reporS documenting+dornplisnce with the UST Permiit Cprtdidons within 30,4*%of the date of the issuance of this pentiit., <br /> ]3) This Permit W Operate shall not be pattSidered permissiQfi to t iolate,arplyla ,Ordittances'bfstatutes of ttthet t ederai,State or s�Onoy <br /> 14) A"ConditionaF'Permit may be"revoked i-cprrectioris specified oit'the imspection report ate mot eonrtpleted by tfie date(s) ittdit O0 <br /> r <br /> PERMITS TO OPERATE are NOT TRANSFERABI E <br /> and may be SUSPENDED or REVOKED for cause. 41 <br /> . <br /> PERMIt(6j'Valid only for: CALIFORNIA FUEL SUPPLY INC <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: COUNTRY CLUB 76 GAS STATION* Facility ID FA0006439 <br /> 2575 COUNTRY CLUB BLVD AccountlD AR0008426 r . <br /> STOCKTON CA 95204 Issued 2/4/2009 <br /> Billing Address: ATTN CALIFORNIA FUEL SUPPLY INC `. <br /> COUNTRY CLUB 76 GAS STATION* , ? <br /> 587 YGNACIO VALLEY RD y <br /> WALNUT CREEK CA 94596: <br /> fi <br /> ^- <br />