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SAN JOAQUOUNTY ENVIRONMENTAL HEALS
<br /> EPtT1111TT
<br /> - 600 E. Main St. • Stockton,CA 95202-3029 • Phone(209)468-3420 _
<br /> Donna Heran,R.E.H.S., Director
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY C1ItRTYFIED UNIFIED PROGRA�VI AGENCY,<:'
<br /> PERMIT TO OPERATE
<br /> Program Permit I? git
<br /> Record ID Number Program Code and Description
<br /> '+Ialtl.
<br /> PR6514* PT0010246 020-SMALL QUANTITY HAZARDOUS WA$ 'EGENERAToRIFACILITY 1/1/2008 To"4201"$.
<br /> Hazardous Waste Generat6 Program:
<br /> In otdertomaintain the"t"to operate,Hazardous Waste Generators shall comply with California Health and Safety Code, Div.20,Chap.6.5,Art.2-13,
<br /> Sec 2510 et sed a --__- Callfornla Code of Regulations Chap.20_
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<br /> PR0231070 2300` NDEROROUND STORAGE TANK FACILITY 1/1/2008 To 12/31/2008
<br /> Under roue Storage Tank PMgL
<br /> Cailfotn' ode'Dlv 20,Chap 6.7 and Title 23 California Code of Regulations,Chap 16
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<br /> P/E T an$`Record ID Perrnit# Capacity Contents Pelrntt Wws SystemTyge Leak Detection
<br /> 2352 9: 390002310700515783 PT01016789 8,000 PREMIUM UNLEADED Active,bll able% DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2350 10 390002310700515784 PT0016790 15,000 REGULAR UNLEADED Active,b;lllable'.., DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2350 11 390002310700515785 PT0016791 7,000 DIESEL Active,billable ' DOUBLE WALLED Continuous Interstitial Monitoring
<br /> BOE ID# 447039026 ,
<br /> Underground Storage Tank Permit Conditions
<br /> 1) The,Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid and/or di UPT tiystem(s)fails to remain in complilqq#with these Permit Conditions.
<br /> 2) In orderto;maintain the operating permit,the owner and operator shall comply with the H&S Code,Div.2Q;f hap.6.7 and 6.75;and CCR,Title 23,Cbap,`'16 and 18,as well as any conditions
<br /> estabhooby San Joaquin County.
<br /> 3) IfShcjank 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 ensure that both
<br /> tht°rattltOwner and tank Operator receive a copy of the permit.
<br /> 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental 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 PermttteltAMU eotitPlywith the monitoring procedures referenced in this peimrt.
<br /> 6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring egtuptpent annually,or;morc tlegttntt0y if specified by'the equipment manufii to e�tmtt 4
<br /> provide documentation of such servicing to this office.
<br /> 7) In the event of a spill,leak,or other unauthorized release,the Permiteeshall comply with the requirements of Title 23 CCR,Chap 16,Art.5,and the appt�rved Fmergency Rtespgnse Plan.
<br /> 8) Written records of all monitoring,performed_shall be maintained on-sttG by the operator and be available for inspection for a period of at least three ye6rB`frgrp tljt date the monitoring was
<br /> performed.
<br /> 9) The EHp hall be noted,o(any chane in cwnership or operation of the UST system within 30 days of such change.
<br /> 10) Upon any change in equipiltettt design 4ropeiation of the UST system(including change in tank contents or usage),the Permit to Operate will brstibject to review,modification or
<br /> revocation. „
<br /> 11) Construction,repair and/orremoyal permits ane 'ed from the EHD tier to an change,repair or removal of UST s sy, `e ui men[.
<br /> tug P Y g P Y q P
<br /> 12), ThePennittee shall submit annual report documenting compli*ce With the UST Permit tronditions within 30 days of the date of the issuaaco of this gerinit.'' '
<br /> 13) This Permit to OperatephoI nka be considered permission to vi'olate'any laws,ordinances or stgtuths of any other Federal,State-qrLRcahagency
<br /> 14) A"Cqudtt#olnal"Perp't, rogyhe revoked if corrections specified on the inspection report are not completed by the date(s)indica>eid;
<br /> V i Y
<br /> > f
<br /> PERMITS TO OPERATE are NOT TRANSFERABLE
<br /> and maybe SUSPENDED or REVOKED for cause
<br /> rF1
<br /> PERMIT(s)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 pi'. ; ". Facility ID FA0006439
<br /> 2575 COUNTRY CLUB BLVD ar Account ID AR0008426
<br /> 04
<br /> STOCKTON CA 952
<br /> Issued 2/8/2008 ,
<br /> Billing Address ATTN CALIFORNIA FUEL SUPPLY INC z ¢ lk I k
<br /> COUNTRY CLUB 76 GAS STATION* Offi,r
<br /> n 587 YGNACIO VALLEY RD x ,„,
<br /> 'WALNUT CREEK CA 94596 a z
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