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I and Safety Code, Div. 20, Chap. 6.7 and Title 23,:California Code of Regulations, Chap_ 16____________ ___
<br />- - ----- ---------------------
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<br />15 6. 390002313200505584 PT0008151 10,058
<br />62 5 390002313200505574 PT0008150 12,094
<br />Underground Storage Tank Permit Conditions
<br />PREMIUM UNLEADED
<br />Active, billable
<br />DOUBLE WALLED
<br />MIDGRADE UNLEADED
<br />Active, billable
<br />SAN JOAQUIN COUNTYINVIROMAENTAL HEALTH DEPARTMENT
<br />REGULAR UNLEADED
<br />Active, billable
<br />}
<br />304 E. Weber Ave., Third Floor 9 Suxkton, CA 95202-2708 • Phone (209) 468-3420
<br />Donna Heran, REH.S., Director
<br />Y
<br />ENVIRONMENTAL HEALTH
<br />{
<br />SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br />'
<br />PERMIT TO OPERATE
<br />Program
<br />Permit Permit
<br />Record ID
<br />Number Program Code and Description Valid
<br />k
<br />i'PR0518325
<br />PT0011964 2220 - SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2003 To 12/31/2003
<br />Hazardous Waste Generator Program:
<br />California Health and Safety Code, Div. 20, Chap, 6. __5, Art. 2-13, Sec. 25100 et seq, and Title 22, California Code of Regulations, Cha 20.
<br />--------------------
<br />PR0231320
<br />2300 - UNDERGROUND STORAGE TANK FACILITY 1/1/2003 To 12/31/2003
<br />I and Safety Code, Div. 20, Chap. 6.7 and Title 23,:California Code of Regulations, Chap_ 16____________ ___
<br />- - ----- ---------------------
<br />Tanlr P—d 111 13—it it t -a ,itv r' fn tc P-4 Qt�tn Q.,ora.,, T, r —1,
<br />l5 r JyUUULJ1JZUU5UD0b0 FIUUUtflSL lu,UStf
<br />15 6. 390002313200505584 PT0008151 10,058
<br />62 5 390002313200505574 PT0008150 12,094
<br />Underground Storage Tank Permit Conditions
<br />PREMIUM UNLEADED
<br />Active, billable
<br />DOUBLE WALLED
<br />MIDGRADE UNLEADED
<br />Active, billable
<br />DOUBLE WALLED
<br />REGULAR UNLEADED
<br />Active, billable
<br />DOUBLE WALLED
<br />Continuous Interstitial Monitoring
<br />Continuous Interstitial Monitoring
<br />Continuous Interstitial Monitoring
<br />j 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.
<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 (MID) and are considererd UST Perdt Conditions. The approved
<br />7 �t" monitoring, response, and plot plans shall be maintained onsite with the permit '
<br />$) The Permittee shall comply with the monitoring procedures referenced in this permit
<br />;.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 />Yi-
<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 />i 11)
<br />BYMALTbri, 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 />1;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 />y14) ' A "Conditional" Permit maybe revoked if corrections specified on the inspection report are not completed by the date(s) indicated.
<br />PERMIT(s) Valid only for: USA PETROLEUM CORP
<br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br />ti ,' Regulated Facility: USA GASOLINE #3502 Facility ID FA0003602
<br />35 N CHEROKEE LN Account;ID AR0003180
<br />t
<br />LODI, CA, 95240 Issued 5/13/2003
<br />Billing Address:
<br />Q USA GASOLINE #3502` `
<br />30101 AGOURA CT #200
<br />AGOURA HILLS, CA 91301
<br />
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