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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E. Hazelton Ave. a Stockton, CA 95205-6232 • Phone (209) 468-3420 Linda Ttlrkatte, R.E.H.S., Director ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Only for "Permit Status" identified as IN COMPLIANCE Program Permit Permit Record ID Number Program Code and Description Permit Status: Valid PR0232482 2300 - UNDERGROUND STORAGE TANK FACILITY Underground Storage Tank Program: California Health and Safety Code, Div. 20, Chap. 6.7 and Title 23, California Code of Regulations, Chap_ 16. P/E Tank # Tank.Record ID Pen -nit # Capacity Contents Permit Status System Type Leak Detection Permit Valid 2362 1 390002324820248201 PT0004324 12,000 REGULAR UNLEADED IN COMPLIANCE DOUBLE-WALL Continuous Monitoring 1/1/2016 To 12/31/2016 2360 2 390002324820248202 PT0004325 12,000 PREMIUM UNLEADED IN COMPLIANCE DOUBLE-WALL continuous Monitoring 1/1/2016 To 12/31/2016 2360 3 390002324820248203 PT0004326 . 12,000 REGULAR UNLEADED IN COMPLIANCE DOUBLE-WALL Continuous Monitoring 1/1/2016 To 12/31/2016 BOE ID#: 44042506 Underground Storage Tanl(Permit Conditions 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. 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 established by San Joaquin County. 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 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 Department (EHD) and are considererd UST Permit Conditions. The approved monitoring, response, and plot plans shall be maintained onsite with the permit. 5) The Permittee, shall comply with the monitoring procedures referenced in this'pemhil. 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 Permitee 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 EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such cliange. 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) Constriction, repair and/or removal permits are required from the EHD prior to any change, repair or removal of UST system equipment. 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. 13) 'A "Conditional' Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated. - ------------------------------------------------------------------------------------------------------------------------------------------------------------------------ ------ PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause. Q PERMIT(s) Valid only for: SINGH, RAVINDER DBA: WEST LANE CHEVRON Tank Owner: RAVINDER SINGH CERSID 10181343 Regulated Facility: WEST LANE CHEVRON Facility ID FA0003719 4747 WEST LN Account ID AR0003298 STOCKTON CA 95210 Issued 4/4/2016 Billing Address: RAVINDER SINGH WEST LANE CHEVRON 4747 WEST LN STOCKTON CA 95210 7023.rp1