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; I <br /> SAN JO UIN COUNTY PUBLIC HEALTH#1VICES <br /> 304 E. WEBER AVE. _ iRD FLOOR STOCKTON,CA 95202 wE (209) 468-3420 x <br /> KAREN FURST, M.D., M.P.H., HEALTH OFFICER <br /> DONNA HERRN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> �r <br /> 4. <br /> t <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CER'T'IFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> rogram Permit Permit <br /> Record Ill Number Program Code and Description Validy <br /> 2 P <br /> PR023108 2300-UNDERGROUND STORAGE TANK FACILITY 111/00 To 12/31/00 <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 /> 1,717 1 ank 77 1 ank Kecoraerne apace y L.ontents Permit Status System I ype <br /> 23bU 1 390002310830515509 PT0011021 6,000 REGULAR UNLEADED Active DOUBLE:WALLED <br /> 2360 4 390002310830515508 PT0011020 15,000 REGULAR UNLEADED Active DOUBLE WALLED INTERSTITAL MONITOR <br /> BOE 113#i'44-024526 <br /> Underground Storage Tank Permit Conditions 5 <br /> 1) The Permit to Operate will become void if Annual Permit Fees and Service Fccs are not paid and/or the UST system(s)fails to remain in compliance with J,3 <br /> these Permit Conditions. <br /> 2) in order to maintain the operating permit,the permit holder shall comply with the i i&S Code,Div.20,Chap.6.7 and 6.75;and CCR,Title 23,Chap. 16 and <br /> 18,as well as any conditions established by San Joaquin County. <br /> 3) If the Tank Operator(s)is dittcrent 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 <br /> Permittee shall ensure 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 arc considererd <br /> UST Permit Conditions. Copies ofthe Procedures and Emergency Response flan must be attached to this permit or be available for review and/or inspection x <br /> th UST site <br /> . a-. <br /> 5) the sermrttee 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 ifspecified by the <br /> equipment manufacturer,and provide documentation of such servicing to this office. <br /> 7) In the event of a spill,leak,or other unauthorized release,the Pernitee shall comply with the requirements of Title 23 CCR,Chap. 16,Art.5,and the <br /> 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 <br /> from the date the monitoring was performed. <br /> 9) The PHS/EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change. <br /> 10 Upon m •chane in a ui ment,design or operation of UST s stem mcludin chane in tank contents or usa e ,the Permit to Operate will be subject to <br /> p. Y g . q P !� p Y (� g g g ) P J <br /> review,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. µ <br /> 12) The Permittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days ofthe anniversary date ofthe issuance t <br /> 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. ah <br /> 14) A"Conditional"Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated. ; <br /> 14 <br /> n;e <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: SINGH, SUKHINDER/DHILLON, C <br /> DBA: QUICK STOP MART <br /> Tank Owner: DHILLON, CHARAN/SINGH, S <br /> TIIIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON TIIL PREMISES <br /> 7 t�, <br /> x* <br /> Regulated Facility: QUICK STOP MART* Facility ID FA0003735 <br /> 2057 S EL DORADO ST Account ID AR0003314 <br /> STOCKTON, CA 95206 Issued 10/10/2000 <br /> Billing Address: ATTN : CHARAN DHILLION ^ <br /> QUICK STOP MART" <br /> 2057 S EL DORADO ST "r <br /> STOCKTON, CA 95210-4470 <br /> 7023.rpt <br />