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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 1868 E. Hazelton Ave. • Stockton, CA 95205-6232 • Phone(209) 468-3420 {
<br /> Donna Heran,R.E.H.S.,Director p " �
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<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE ,n
<br /> Program Permit Permit
<br /> Record ID Number Program Code and Description Valid
<br /> PRO513609 PT0009804 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2014 To 12/31/2014
<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,
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<br /> Sec.25100 et seq, and Title 22,California Code of Re ulations,Chap.20. 1
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<br /> B 3� 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2014 To 12/31/2014 ? t
<br /> Underground-Storage-Tank Pto r3rn:
<br /> California Health and Safety Code, Div.20,Chap.6.7 and Title 23,California Code of Regulations, Chap_16.
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<br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2362 13 390002313100131013 PT0004724 8,000 PREMIUM UNLEADED ACTIVE,BILLABLE DOUBLE-WALL Continuous Monitoring "
<br /> 2360 14 390002313100131014 PT0004725 8,000 DIESEL ACTIVE,BILLABLE DOUBLE-WALL Continuous Monitorings ,'.
<br /> 2360 15 390002313100131015 PT0004726 10,000 REGULAR UNLEADED ACTIVE,BILLABLE DOUBLE-WALL Continuous Monitoring # t;
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<br /> 2360 16 390002313100131016 PT0004727 10,000 DIESEL ACTIVE,BILLABLE DOUBLE-WALL Continuous Monitoring
<br /> 2360 17 390002313100131017 PT0004728 10,000,
<br /> DIESEL ACTIVE,BILLABLE DOUBLE-WALL Continuous Monitoring
<br /> BOE ID#: 440246403. #
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<br /> Underground Storage Tank Permit Conditions j.
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<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 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. }yt
<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 5 ,
<br /> monitoring,response,and plot plans shall be maintained onsite with the permit. a
<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 `t
<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 i o
<br /> performed, 1"
<br /> 9) The EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change. ; T s "$
<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
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<br /> revocation. p
<br /> 1 1) Constriction,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. Al
<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: VAN DE POL ENTERPRISES INC.
<br /> Tank Owner: JIM THORPE OIL INC11
<br /> K71111
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<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> VAN DE POL ENT INCIPACIFIC PRIDE Facility ID FA00037733.
<br /> Regulated Facility: Account ID s#
<br /> 351 N BECKMAN RD AR0003353
<br /> LODI CA 95240 Issued 2/27/2014 "N
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<br /> Billing Address: ATTN SHACKELFORD, TED 1 �1
<br /> VAN DE POL ENT INC/PACIFIC PRIDE
<br /> PO BOX 1107 '
<br /> 3
<br /> STOCKTON CA 95201-1107
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<br /> 7023.rpt
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