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�i ***CORRECTED*** <br /> SAN JOAQUIIUNTY ENVIRONMENTAL HEALTH IWARTIVIENT <br /> 5 <br /> 304 E.Weber Ave.,Third Floor Stockton,CA 95202-2708 Phone(209)468-3420 <br /> 1 Donna Heran,RE-H.S.,Director <br /> ° <br /> a� ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Program Permit - Permit <br /> Record ID Number Program Code and Description Valid <br /> }PR0518453 PT0012030 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2003 To 12/31/2003 <br /> 'Hazardous Waste Generator Program: <br /> LCalifornia Health and Safety Code,Div_20,_Chap.6.5,Art_2.13,_Sec.25100_et seq and Title 22,California Code of Regulations,Chap. <br /> --- ------ ----- --- ............................................ ----------------------------------------------- <br /> R0231 <br /> - - ----- <br />``, R0231346 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2003 To 12/31/2003 <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. <br /> r P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status 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(s)fails to remain in compliance 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 and 6.75;and CCR,Title 23,Chap.16 and 18,as well as any conditions <br /> r 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 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 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 /> The Permittee shall comply with the monitoring procedures referenced in this permit. <br /> 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 ofsuch 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 /> I) 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 /> 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) M&%' %n,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment. <br /> 12) The Permittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the anniversary 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 maybe revoked if corrections specified on the inspection report are not completed by the date(s) indicated <br /> a <br /> .ax <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: USA PETROLEUM CORP <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 /> F LODI, CA 95240 Issued 5/15/2Od3 <br /> Billing Address: <br /> USA GASOLINE #3513 <br /> 30101 AGOURA CT #200 <br /> AGOURA HILLS, CA 91301 <br /> c ; <br /> Y <br />