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<br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 1868 E. Hazelton Ave. 9 Stockton, CA 95205-6232 a Phone(209) 468-3420
<br /> 1. 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 Permit
<br /> Record ID Number Program Code and Description Valid
<br /> PR0519024 PT0012263 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2014 To 12/3112014
<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-,-ant-Ttie-22,Caffor!ji�! f R!�gulations,Chap.20.
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<br /> RGROUND STORAGE TANK FACILITY *trt;�',� `�
<br /> 1/112014 To 1213112014,
<br /> 23001-UN
<br /> P"231454
<br /> (Mftround 51orage Tank Pro orarm-�
<br /> 6atifornia Health and Safety Code,Div.20,Chap.6.7 and Title 23,California Code of Regulations,Chap. 16. A�71
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<br /> P/E Tank Tank Record ID Perin it Capacity Contents Permit Status System Type Leak Detection
<br /> 2362 4 390002314540145404 PT0004902 12,000 REGULAR UNLEADED ACTIVE,BILLABLE DOUBLE-WALL Continuous Monitoring
<br /> 2360 5 390002314540145405 PT0007718 12,000 PREMIUM UNLEADED ACTIVE,BILLABLE DOUBLE-WALL continuous Monitoring
<br /> BOE ID#: 44045952
<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 LIST system(s)fails to remain in compliance with these Permit Conditions.
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<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 /> 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 ofthe 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 Permittee 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 spi 11,leak,or other unauthorized release,the Perm itee 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 /> revocation.
<br /> 11) Construction,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment.
<br /> 12) 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 /> 13) A"Conditional"Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated.
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<br /> PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s)Valid only for: STATEWIDE PETROLEUM INC
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
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<br /> STATEWIDE PETROLEUM INC Facility ID FA0003796
<br /> Regulated Facility:
<br /> AR0003381
<br /> Account ID
<br /> 1700 E YOSEMITE AVE
<br /> 3118/20
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<br /> MANTECA CA 95336 Issued 14
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<br /> Billing Address: ATTN DOSANJH, TERRI
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<br /> 1700 E YOSEMITE AVE
<br /> CA 95336
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