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M , SAN JOAON COUNTY PUBLIC HEALTH SVSVICES 304 E.WEBER AVE.,THIRD FLOOR - STOCKTON,CA 95202 - PHONE(209) 468-3420 KAREN FURST, M.D., M.P.H., HEALTH OFFICER DONNA HERAN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNi FI ED PROGRAM AGENCY PERMIT TO OPERATE rograIn Permit Permit Record iD Number Program Code and Description Valid PR023140 2300-UNDERGROUND STORAGE TANK FACILITY 111100 To 12/31/00 Underqroun Storage Tank Program: California Health and Safety Code Div.20,Chap.6.7 and Title 23 California Code of Regulations Chap. 16. 177 1 OR allK Kccoraennr apace y C on ens permit Status Active 2360 5 39000231404 140405 PT0004251 12,000 UNLEADED Active 2360 4 39000231404 140404 PT0004250 12,000 UNLEADED Active 2360 3 39000231404 140403 PT0004248 12,000 UNLEADED Active Underground Storage nk Permit Conditions I) 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. 2) In order to maintain the operatingpermit,the permit holder shall comply with the 11&S Code,Div.20,Chap.6.7 and 6.75;and CCR,Title 23,Chap. 16 and 18,as well as any conditions established by San Joaquin County. 3) iftheTank Operator(s)is different from the Tank Owner,or if the Permit to Operate is issued to a person other than the owner or opemtorof tire tank,the Permittee shall ensure that both the Tank Owner and tank Operator receive a copy of the permit. 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Division(PIIS/EHD)and are considercrd UST Pennit Conditions. Copies of the Procedures and Emergency Response flan must be attached to this permit or be available for review and/or inspection 5) itleth UST site shall comply with the monitoring procedures referrenced in this permit. 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 provide documentation of such servicing to this office. 7) In the event of a spill,leak,or other unauthorized release,the Pennitee shall comply with the requirements of Title 23 CCR Chap. 16,Art.5,and the approved Emergency Response Plan. 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 performed. 9) The PHS/EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change. 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 revocation. 11) Construction,repair and/or removal permits are required from the PHS/EHD prior to any change,repair or removal of UST system equipment. 12) The Permittee shall sulmit an annual report documenting compliance with the UST Permit Conditions within 30 days of the anniversary date ofthe issuance of this permit. 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. 14) A"Conditional"Permit may be revoked if corrections 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: CONVENIENCE ACQUISITION CO Tank Owner: CONVENIENCE ACQUISITIONS LLC THIS FORM MAST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES Regulated Facility: MORE FOR LESS#37 Facility ID FA0002915 15 E GRANT LINE RD Account ID AR0002476 TRACY, CA 95376 Issued 10/5/2000 Billing Address: ATTN : CONVENIENCE ACQUISITIONS LLC MORE FOR LESS#37 3336 BRADSHAW RD STE 260 SACRAMENTO, CA 95827 7023.rpt