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t <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.Weber Ave.,Third Floor• Stockton,CA 95202-2708 •Phone(209)468-3420 <br /> Donna Heran,RE-H.S., Director <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRX-M AGENCY <br /> PERMIT TO OPERATE <br /> Program Permit Permit <br /> Record ID Number Program Code and Description Valid <br /> PRO518453 PT0012030 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2004 To 12/31/2004 <br /> Hazardous Waste Generator Program: <br /> In order to maintain the permit to operate,Hazardous Waste Generators shall comply with California 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 /> PR0231346 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2004 To 12/31/2004 <br /> Underground Storage Tank Program: <br /> California Health and Safety Code,Div.20,Chap. and Title 23,California Code of Regulations,Chap_16. <br /> ------- ------- --------- -------------- -- - ---------------- ------------- - ------------ <br /> P/E Tank# Tank Record ID Pen-nit# Capacity Contents Permit Starus System Type Leak Detection <br /> 2360 5 390002313460507187 PT0009249 14,130 REGULAR UNLEADED Active.billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> 2362 4 390002313460507186 PT0009248 14,130 PREMIUM 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 are not paid and/or the UST system(;)fails to remain incompliance with these Permit Conditions. <br /> 2) In order to maintain the operating permit,the owner and operator shall comply with the H&S Code,Div.20,Chap.6.7 arA 6.76;a:A 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 Operate is issued to a person other than the owT.er 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 the Environmental Health Deparrnent(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 Pemrittee 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 on-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 /> 11) M60MiRlbn,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST s}stem equipment. <br /> 12) The Pemtittee shall submit an annual report documenting compliance with the UST Permit 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,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: USA PETROLEUM CO <br /> Tank Owner: USA GASOLINE#3513 <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: USA GASOLINE#3513* Facility ID FA0003603 <br /> 401 W KETTLEMAN LN Account ID AR0003181 <br /> LODI, CA 95240 Issued 4/1/2004 <br /> Billing Address: <br /> USA PETROLEUM CO <br /> 30101 AGOURA CT <br /> AGOURA HILLS, CA 91301 <br /> 7023.rpt <br />