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A1w .#QUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT " ?,, <br /> bQQ E. Main,St, !Stoekton,CA 95202'-1029 0,Phone(209)468-3420 T ` <br /> Donna Heran,R.E. <br /> I :S,Dl77777 <br /> recp>�plr <br /> VIRONI <br /> 8A1�1:JIJAQLiIN COTJNTYr RTTFPRO C I AgENCY wd- <br /> FER11gTT TO OPkRA'(E <br /> P t_ <br /> Recoil r ID Numbter ' PrOm Code and I3escRpUon V <br /> PI20514Q45 'PT0010240 2220.=Sf A&L"00WIIYHA1Z�l150US WASTE;(aENERATOR FAd7,y 12/31/2011 <br /> HatZArdousWaste-GeneratorPr�t ` <br /> <, ,., <br /> (r1 or>ler to maintain the permit to oj3�Iato;Ha rftay Wasfs CasraelFatQrs Shall-,P-, ply with OalifRifrna lHealttt and Safety Ct>�1 ;Qiv;20 Clap.6.5,Art 2 13 ; <br /> Sec 00 et seg and Tltte 2 !Itforn�a txocta 9f ReUlatlt� shaP:2Q i ------------- <br /> 7" t - <br /> R 0231070 230Q ERi3RQUI4D STORAGE TANIhFAOILITY 1171201 To t2/31/2011' <br /> �+ ,•Staraas Tank Pr ' r m'' , <br /> California Healtkr acid a,Kh o e'Dttr 20:Chap 6 7 and Title 23 California Code of ReulatiQns�Chap_16 <br /> 7 .�_•, __" ..� _.v_ _ ...._. .a..,,ST. ---- -- ----- -- - - ----------------- - -- -- ----- <br /> -PF' r: Tattle *D> 1'errtut#• Seit Contents ernt Status Syst ?r,' n' Legk Detection <br /> 235 <br /> 39006211,107,0051570 "PTQQIQ7$0 $;1Q00'; PREMIUM UNLEADED AcOVe'talllable D0y8L6; PILLIED Continugaaihterstitial Monitoring <br /> 10 39000231'0701 15'd8.4 RTQQ96790 'I5;90( REGUk/�R'UNLEADED Ay jjtg billable DOU{91 1iyALLED Continupyf5tnterstitiat Monitoring <br /> 23SQ ' ''11,. 3900021Q7QA i7$ ,- 11671 7; DIESEL AtI�e'billable DouetE i111D Continuous Interstitial Monitoring <br /> ITnder ►uiid Stor&gttnli '�IrttaltiatnRflos <br /> 1) The Perot�ti to t Aerate wi!1.bovoine vaic#f aua�Permtt F l9p vteEs Fees atEe'not paid andlQr lG�E 9T s, sietp(a}f8i�s igreptgio tt}�on4p iahco with these Permit Conditions. <br /> 2), In order to maintain the operating permit,the awtdr alttl optxtttW shalt•eomply w#th ihe19S Ge,I3tYR r 6,1 a 417A end C I KIe lap I{i an¢1$,as well as any conditions <br /> established,by San Joaquin County. <br /> 3) If the Tank Operator(,)is different from the Tank CSWttet`.q>if 1te lseime tenItuwrPeensure that both <br /> the Tank Owner and tank Operatorreceive a copy of the pepntt ', <br /> q); Written Monitoring Procedures attd as Emergency Responsp'w'1an gitSstle apptovgd by the Etitutttit '(131�)and are ctstdaierdl TSF�1'A�tt t»pn¢lttons. The approved' <br /> monitoring;response,and plot Also,5fi�llbe, tamed onsite, t t40 penmt '- r t 1 <br /> 5) `The Permittee shall comply with the#ionitoring procedures referencyrl.n this permit <br /> 6) The Permittee shall perform testing lrnd preventive maintenance,-6A a 1 leak detection monitoring equipment annually,or more fregtterrtly#spri5gd by tfie equipment manuf9Cft>zpr and, <br /> provide docuttientettop of such seMoing to this office <br /> r!n the event of a spill ted;or othg,t}ntato'cirized relepsd thq Permio�.shall comply wall the requiretngnts of Title 23 CCR,Chap.16 Alt 5 a4d the approved Emergency Response•l'M0 <br /> fi r + <br /> $} ,Written recordsQfall mci #prtngpplPonnedssligll�e m�intatrted�tr§t4e byttte pperator ttid be available4U., lion for apenod-of at least t)tYeeyears from the date the mgnttonn�xia{ <br /> performed <br /> t <br /> r <br /> 9)­'The EHD shall t ,;Oa at.of auy cltsr e m ownership or operat+on of the UST system wrtltrp;3Q days of such change <br /> 10) Upon any c to ut n ds &r tion of sysf m(r1q 4g haps o�lt" $�)r �' � � ]1�y <br /> kt�8e e4 pine t sign ops ttie t'ST t tnsJi c e.n tank a or usa the ettntt to.p talet ll be st b to tevtew modtlicat on ar <br /> revocgiton <br /> 11 Cons" re O>T <br /> dens' Pau and/ ,amovei permtts are�egtnred from i64 E�P o p4y change tip*ar I'etitoval 4f�JST ysfem ecltupmept <br /> 12) The Petmiitag gaUrsulgtit ao annus!egiort documeatt co#nphauce with th UST;Perntu Cdttlingns wthm 30 of�te date o€the isstuutce OAK Int <br /> 13) This Perat#t totYper#te vfolata#ty laws ofdinances or statutes ax aRy oilier P feral;State br Local aggncy <br /> 14) r4'S ggdtitcuta"'PermYt titay he Yevokpd tt'cgrrecttorts&pectfied pn the iospeceton report are not compinted'by the dates) t{tdicattzd' �' <br /> k^L- - E <br /> o <br /> - .. ._..+ <br /> PERMITS`TC) l!A4Y be"SUSP DED or REVOKED'foir <br /> PERMIT(S)Vaiid'onlyfor: GAL,�FbRNIA FUEL SUPPLY INC; t N` <br /> THIS.F9RM MUST BE DISPLAYED CONSPICUOUSLY ON T)HE PR$L ES <br /> t � z <br /> COUNTRY CLUB 76 GAS STATION* Facility ID FA0006439 <br /> 'Regulated Facility: r K e <br /> 2575 COUNTRY CLUB BLVD _ , ,Account iD AR0008426 ;'5 <br /> STOCKTON CA 95204 issued 2/4/2011 <br /> Billing Address: ATTN CALIFORNIA FUEL SUPPLY INC , <br /> } COUNTR ''CLUB 76 GAS STATION* <br /> r y' 587 YGfCIO VALLEY RD <br /> WA73I �' CREEK. CA 94596 <br /> 7028 rpt <br /> - <br />