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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, R.EH.S., Director <br />ENVIRONMENTAL HEALTH <br />SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br />PERMIT TO OPERATE <br />Program <br />Record ID <br />Permit <br />Number Program Code and Description <br />Permit <br />Valid <br />PR023142 <br />2300 - UNDERGROUND STORAGE TANK FACILITY <br />1/1/2002 To 12/31/2002 <br />Underground Storage Tank Program: <br />California Health and Safety Code Div_ 20, Chap: 6.7 and Title 23 California Code of Regulations Chap_ 16______________ <br />--------------- -------- --- - ----------------- --- - -- -- -- <br />- ------------- <br />---------- -------------- - <br />--- <br />P/E Tank # Tank Record ID Permit # Capacity Contents Permit Status <br />System Type <br />Leak Detection <br />2360 3 <br />390002314290142903 PT0004264 10,000 PREMIUM UNLEADED <br />Conditional <br />DOUBLE WALLED <br />Continuous Interstitial <br />Monitoring <br />2360 2 <br />390002314290142902 PT0004263 10,000 REGULAR UNLEADED <br />Conditional <br />DOUBLE WALLED <br />Continuous Interstitial <br />Monitoring <br />2362 1 <br />390002314290142901 PT0004262 10,000 REGULAR UNLEADED <br />Conditional <br />DOUBLE WALLED <br />Continuous Interstitial <br />Monitoring <br />Underground Storage Tank Permit Conditions <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 <br />conditions 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 <br />both 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 <br />approved monitoring, response, and plot plans shall be maintained onsite with the permit. <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, <br />and 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 <br />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 <br />was 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 />revocation. <br />11) Construction, 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 maybe 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: KAMBOJ, JARNAIL & HARI <br />Tank Owner: CARDOZA ENT <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: ONE STOP MARKET* <br />1151 W LOUISE AVE <br />MANTECA, CA 95336 <br />Billing Address: ATTN : JARNAIL S KAMBOJ <br />ONE STOP MARKET* <br />1151 W LOUISE AVE <br />MANTECA, CA 95336 <br />7023.rpt <br />Facility ID FA0000819 <br />Account ID AR0000817 <br />Issued 3/29/2002 <br />