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SAN JOAN COUNTY PUBLIC HEALTAWCES <br /> 304 E.WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 • PHONE(209)468-3420 <br /> KAREN FURST,M.D., M.P.H., HEALTH OFFICER <br /> DONNA RERAN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Program Permit —- Permit <br /> Record ID umber Program Code and Description Valid <br /> PR0231764 00-UNDERGROUND STORAGE TANK FACILITY 1/1/01 To 12/31/01 <br /> Under round Stora a Tan ram: <br /> California Health and Safety Code Div_20,Chap.6.7 and Title-2 3- 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 390002317640506375 PT0008806 12,000 UNLEADED Active DOUBLE WALLED AUTOMATIC TANK GUAGE <br /> 2360 5 390002317640506376 PT0008805 6,000 UNLEADED Active DOUBLE WALLED AUTOMATIC TANK GUAGE <br /> 2360 6 390002317640506377 PT0008804 6,000 DIESEL Active DOUBLE WALLED AUTOMATIC TANK GUAGE <br /> ootj- x$25033 z 5 <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 <br /> Conditions. <br /> 2) In order to maintain the operating permit,the permit holder 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 <br /> anyconditions established bySan Joaquin County. <br /> 3) If the Tank Operators)is different from the Tank Owner,or if the Permit to Operate is issued to a person other than the owner or operator ofthe tank,the Permittee shall <br /> en sure that both 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 Division(PHS/EHD)and are considaerd UST Permit <br /> Conditions. Copies ofthe Procedures and Emergency Response Plan must be attached to this permit or be available for review and/or inspection at the UST site. <br /> 5) The Permittee shall comply with the monitoring procedures referrenced 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 <br /> manufacturer,and 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 <br /> Response Plan. <br /> 8) Written records of all monitoring performed shall be maintained on-site by the operator and be available for inspection fora period of at least three years from the date the <br /> monitoring was performed. <br /> 9) The PHS/EHD shall be notified of any change in ownership or operation ofthe UST system within 30 days of such change. <br /> 10) Upon any change in equipment,design or operation ofthe UST system(including change in tank contents or usage),the Permit to Operate will be subject to review, <br /> modification or revocation. <br /> 11) Construction,repair and/or removal permits are required from the PHS/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 ofthe anniversarydate ofthe issµance ofthis 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: ORLANDO,SAM B <br /> Tank Owner: ORLANDO,SAM B & MARILYN <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: ORLANDO'S#1 Facility ID FA0002160 <br /> 5611 WATERLOO RD Account ID AR0002171 <br /> STOCKTON. CA 95215 Issued 3/29/2001 <br /> Billing Address: ATTN ORLANDOS BAIT&TACKLE/ORLANDO,S <br /> ORLANDO'S#1 <br /> 5611 WATERLOO RD <br /> STOCKTON, CA 95215 <br /> 7023.rpt <br />