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<br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> it
<br /> 600 E. Main St. • Stockton, CA 95202-3029 • Phoge,(209)46>
<br /> Donna Heran,R.E,.H.S., Director -
<br /> ENVIRONMENTAL HEALTH
<br /> ` SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit
<br /> Record ID Number Program Code and Description a Permit
<br /> :_
<br /> Valid
<br /> PRO518453 PT0012030 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITYA12011 To IIW31/2011
<br /> Hazardous Waste Generator Program . r
<br /> In order to maintain the permit to operate,Hazardous Waste Generators shall comply with GjIlfcarnia Health and Safety Code,Iii 2Q,Chap.6.5,Art.
<br /> Sec,25100-- seg, and Title 2-- California Code of Regulations,Chap.20.--------------
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<br /> PR023134
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<br /> PR0231346 2300-UNDERGROUND STORAGE TANK FACILITY 1f112Q11 To 12/31/2011• '
<br /> C Underground Storage Tank Program I
<br /> California
<br /> rnTmHk#Health and Tank Record 1 Div.20Safety
<br /> ----------------------
<br /> ,_ Permit#7 and Title 23, California Code of RegulatiPem�itCStaPos 6 - - -A - - '
<br /> System ype .- Leak Detection
<br /> 2362 4 390002313460507186 PT0009248 14,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 5 390002313460507187 PT0009249 14,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> Underground Storage Tank Permit Conditions
<br /> a
<br /> 1) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not aid and/or the UST s stems fails to remain in com h
<br /> P Y O p AYitif these Permit Conditions
<br /> 2) In order to maintain the operating pennit,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 t v,-
<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 owner or operator of the tank,the Permittee shall ensure that both
<br /> g the Tank Owner and tank Operator receive a copy of the permit.
<br /> Written Monitoring Procedures and an Emergency Response Plan must be approved by the Enviromnental 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 Permittee shall comply with the monitoring procedures referenced in this permit.
<br /> ti) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently ifspecified 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 Pennitee shall comply with the requirements of Title 23 CCR,Chap.16,An.5,and the approved Emergency Response Plan
<br /> 8) Written records of.li 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 manuorittg was
<br /> performed. y .
<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,,moditication or j.,fA=.i it
<br /> revocation.
<br /> 11) Construction,repair and/or removal pennits are required from the EHD prior to any change,repair or removal of UST system equipment. w �t
<br /> 12) The Permittee shall submit an aimual report docwnenting compliance with the UST Permit Conditions within 30 days of the date of the issuance of this permit. qlx wt ,
<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. 70
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<br /> r PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s)Valid only for: TESORO REFINING 8r MARKETING COp
<br /> Tank Owner: TESORO WEST COAST COMPANY LLC `x rg
<br /> C."
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility: USA GAS STATION #68152* Facility ID'FA0003603
<br /> 401 W KETTLEMAN LN At otln-1 AR0003181 a ati r r
<br /> LODI CA 95240 �* Issued 2/4/2011 � A5s
<br /> Billing Address: ATTN TRACY COWAN
<br /> USA GAS STATION #68152* F `�
<br /> 19100 RIDGEWOOD PKWY MSTX1-022
<br /> SAN ANTONIO TX 78259 a
<br /> .`!�9 rpt - "� t 4 a • '"17�'
<br /> 4 $
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