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<br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT tai
<br /> 600 E. Main St. Stockton, CA 95202-3029 • Phone(209)468-3420 ,
<br /> Donna Heran, R.E.H.S., Director
<br /> ENIIRONMENTAL HEALTH
<br /> SAN J AQU N COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit Permit
<br /> Record 1D Number Program Code and Description
<br /> Valid
<br /> PR0521788 PT0014728 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2011 To 12/31/2011
<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 /> PR0231692 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2011 To 12/31/2011
<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 Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2362 4 390002316920508176 PT0009576 10,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 5 390002316920508177 PT0009577 6,000 DIESEL Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 6 390002316920508178 PT0009578 4,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> F�tt',,44Q2 , 9
<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 remainincompliance 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 /> established by San Joaquin County.
<br /> 3) If the Tank Operator(s)is different from the Tank Owner,or ifthe 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 /> 5) The Pennittee 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 /> revocation.
<br /> 11) Construction,repair and/or removal permits are required froim the EIW 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 Pennit 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 may be SUSPENDED or REVOKED£or cause.
<br /> PERMIT(s)Valid only for: MOSSDALE (VESTMENTS LLC I
<br /> Tank Owner: MOSSDALE INVESTMENTS LLC "
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility: ARCO MOSSDALE* }. R: Facility ID FA0000212
<br /> 444 W MOSSDALE RD VAccount lD AR0000211
<br /> LATHROP CA 95330 490 2/4/2011
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<br /> Billing Address: ATTN ~-DHILLON, PAUL' y
<br /> ARCO MOSSDALE*_
<br /> 44 CASTLE HILL CT � _-�•- �r .t.�,,
<br /> ROSEVILLE SCA 9567$
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