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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.Weber Ave.,Third Floor• Stockton,CA 95202-2708• Phone(209)468-3420 <br /> Donna Heran,RF—H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Permit <br /> Program Permit Valid <br /> Record ID Number Program Code and Description <br /> PR0231310 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2003 To 12/31/2003 <br /> Underground Storage Tank Program: <br /> California Health and Safety Code,Div.20,Chap_6 .7 and Title 23,Califomia Code of Regulations,Chap.16. __________________________________-___--_________.______ <br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type <br /> 2360 17 390002313100131017 PT0004728 10,000 DIESEL Conditional DOUBLE WALLED <br /> DIESEL Conditional DOUBLE WALLED <br /> 2360 16 390002313100131016 PT0004727 10,000 REGULAR UNLEADED Conditional DOUBLE WALLED <br /> 2360 15 390002313100131015 PT0004726 10,000 DIESEL Conditional DOUBLE WALLED <br /> 2360 14 390002313100131014 PT0004725 8,000 DOUBLE WALLED <br /> 2362 13 390002313100131013 PT0004724 8,000 PREMIUM UNLEADED Conditional <br /> Underground Storage Tank Permit Conditions <br /> I) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid and/or the UST systems)fails to remain in compliance with these Permit Conditions. <br /> 2) In order to maintain the operating per it;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 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 pemrit. <br /> 5) The Peruttee 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 /> g) 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 /> 11) MAR&Mn,repair and/or removal permits are required from the 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 of the anniversary 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 are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: THORPE,JIM OIL INC <br /> DBA: JIM THORPE OIL INC <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Facility ID FA0003773 <br /> Regulated Facility: JIM THORPE OIL INC Account ID AR0003353 <br /> 351 N BECKMAN RD Issued 5/1/2003 <br /> LODI, CA 95241 <br /> Billing Address: <br /> JIM THORPE OIL INC <br /> PO BOX 357 <br /> LODI, CA 95241-0357 <br /> 7023.rpt 0 a <br />