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<br /> SAN JOAQU*OUNTY ENVIRONMENTAL HEALAfJEPARTMENT
<br /> 1
<br /> 600 E.Main St. • Stockton,CA 95202-3029 • Phone(209)468-3420
<br /> Donna Heran,R.E.H.S., Director
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program PermitPermit
<br /> Record ID Number Program Code and Description Valid
<br /> PR0527197 T0019015 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2012 To 12131/2012
<br /> Hazardous Wast Generator Pro ram:
<br /> In orderto maintain the permit to operate, Hazardous Waste Generators shall comply with California Health and Safety Code, Div.20,Chap.6.5,Ad.2-13,
<br /> Sec_25100 et seq,and Title 22,_California Code of Regulations, Chap_20; ,_ _________
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<br /> PR0524617 2300-UNDERGROUND STORAGE TANK FACILITY 111/2012 To 12/31/2012
<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 /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2352 1 390005246170515787 PT0016813 20,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous interstitial Monitoring
<br /> 2350 2 390005246170515788 PT0016812 12,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2350 3 390005246170515789 PT0016814 10,000 DIESEL Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> BOE ID#: 44041 jigWAM
<br /> Undergrou H1 Storage Tank Permit Conditions
<br /> 1) The Permit to perste will,become void if Annual Permit Fees and Service Fees are not paid and/or the UST syster(s)fails to remain in compliance with these Permit Conditions.
<br /> 2) In order to mai min 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 an Joaquin County.
<br /> 3) If the Tank OF ator(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 Own x and tank Operator receive a copy of the permit
<br /> 4) W riven Monit(rring Procedures and an Emergency Response Plan must be approved by the Environmental Health Department(EHD)and are considererd UST Permit Conditions. The approved
<br /> monitoring,response,and plot plans shall be maintained onsite with the permit.
<br /> 5) The retrainee ihall 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,and
<br /> provide documentation of such servicing to this office.
<br /> 7) In the event ora 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.
<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 /> 10) Upon any change in equipment,design or operation of the UST system(including change in tank contents or usage),the Permit to Operate wil I be subject to review,modification or
<br /> revocation
<br /> 11) Construction,repair and/or removal permits are required from the EFID prior to my change,repair or removal of UST system equipment.
<br /> 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.
<br /> 13) A"Conditional'Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated.
<br /> ._.__.._-___-__._._.__............._._.___.._______-_.__..__..._...__"-- --.__..._....___.___......._.._._....___ ___- _____.___...._.__..........
<br /> PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause.
<br /> PERMITS)Valid only for: RALEYS
<br /> DBA: RALEY'S
<br /> Tank Owner: RALEYS FAMILY OF FINE STORES
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> RALEYS FUEL STATION#356 FacilityIo FA0016523
<br /> Regulated Faci1 4219 E MORADA LN Account ID AR0029109
<br /> STOCKTON CA 95212 issued 2/1012012
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<br /> Billing Addre4s: ATTN RALEY'S
<br /> RALEYS FUEL STATION #356
<br /> 500 W CAPITOL AVE
<br /> I SACRAMENTO. CA 95605
<br /> 7023.rpt
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