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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 304 E. Weber Ave., Third Floor • Stockton, CA 95202-2708 • Phone (209) 468-3420 Donna Heran, R.E.H.S., Director ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Program Permit Permit Record ID Number Program Code and Description Valid PRO518325 PT0011964 2220 - SMALL QUANTITY HAZARDOUS WASTE GENE RAT R FACILITY 1/1/2003 To 12/31/2003 Hazardous Waste Generator Program: California Health and Safety Code, Div. 20, Chap_6.5, Art. 2-13, Sec. 25100 et seq,_and T_tle 22, California Code of Regulations, Chap. 20_ - -- - -- -- - 1- - - ---- ---------------- PR0231320 2300 - UNDERGROUND STORAGE TANK FACILITY Underground Storage Tank Program: California Health and Safety Code, Div. 20, Chap.6.7 and Title 23,_California Codeof Regulations, Chap_ 16. --------------------- ---- ---- 2315 90002313200505585 PT0008152 10,058 2315 6 39000022313200505584 PT0008151 10,058 2362 5 3 003200505574 PTOOO�150 12,094 Un&rg and Storage Tank P.erinit Conditibns 1) The Permit to Operate will become void if Annual Permit Fees and Service 2) In order to maintain the operating permit, the owner and operator shall comply established by San Joaquin County. 3) If the Tank Operator(s) is different from the Tank Owner, or if the Permit t the Tank Owner and tank Operator receive a copy of the permit. 4) Written Monitoring Procedures and an Emergency Response Plan must be pp monitoring, response, and plot plans shall be maintained onsite with the mul 5) The Permittee shall comply with the monitoring procedures referenced ' this 1 6) The Permittee shall perform testing and preventive maintenance o all leak provide documentation of such servicing to this office. 7) In the event of a spill, leak, or other unauthorized release, the P nnitee s 8) Written records of all monitoring performed shall be maintai don -sit by performed. UNLEADED Active, billable UNLEADED Active, billable 1/1/2003 To 12/31/2003 DOUBLE WALLED Continuous Interstitial Monitoring DOUBLE WALLED Continuous Interstitial Monitoring /are not paid and/or the UST system(s) fails to remain in compliance with these Permit Conditions. 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 Operate is issued to a person other than the owner or operator of the tank, the Permittee shall ensure that both wed by; the Environmental Health Department (EHD) and are considererd UST Permit Conditions. The approved monitoring equipment annually, or more frequently if specified by the equipment manufacturer, and I comply with the requirements of Title 23 CCR, Chap. 16, Art. 5, and the approved Emergency Response Plan. the operator and be available for inspection for a period of at least three years from the date the monitoring was 9) The EHD shall be notified of any change in ownership or o tion o e UST system within 30 days of such change. 10) Upon any change in equipment, design or operation of UST tem (including change in tank contents or usage), the Permit to Operate will be subject to review, modification or 11) LgffU& bn, repair and/or removal permits are required m th EHD prior to any change, repair or removal of UST system equipment 12) The Permittee shall submit an annual report docume ting mpliance with the UST Permit Conditions within 30 days of the anniversary date of the issuance of this permit. 13) This Permit to Operate shall not be considered pe issi to violate any laws, ordinances or statutes o£any other Federal, State or Local agency. 14) A "Conditional' Permit may be revoked if Corr do s specified on the inspection report are not completed by the date(s) indicated. PERMITS TO OPERATE are NOT TRANSFERABLE and may be SUSPENDED or REVOKED for cause. PERMIT s) Valid only for: USA PETROLEUM CORP THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES Regulated Facility USA GASOLINE #3502 35 N CHEROKEE LN LODI, CA 95240 Billing Address: USA GASOLINE #3502 30101 AGOURA CT #200 AGOURA HILLS, CA 91301 7023.rpt is 0 Facility ID FA0003602 Account ID AR0003180 Issued 5/1/2003