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SAN JOAQUISOUNTY ENVIRONMENTAL HEALIGEPARTMENT
<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 /> Number ram Code and Description Valid
<br /> PRO527197 00190152220- MALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/112011 To 12131/2011
<br /> 1-Uazardaus Waste Generator
<br /> In order to maintain the permit to operate,Hazardous Waste Generators shall comply with California Health and Safety Code,Div.20,Chap.6.5,Art.2-13,
<br /> Sec.25100 at sea,and Title 22,California Code of Regulations_Chap_20, .
<br /> PRO524617 + 2300-UNDERGROUND STORAGE TANK FACILITY 11112011 To 12/31/2011
<br /> Underground Si Jaae 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 P90005246170515787 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 /> 630E ID#: 4404i1I . z.,i-
<br /> Undergrou III Storage Tank Permit Conditious
<br /> I) The Permit to pemte 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 mai twin the operating permit,the owner and operator shall comply with the H&S Code,Div.20,Chap.6.7 and 6.75;and CCR,Tide 23,Chap.16 and 18,as well as any conditions
<br /> established by an Joaquin County.
<br /> 3) If the Tank Of mtor(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 r and lank Operator receive a copy of the permit
<br /> 4) written Memo ing Procedures and an Emergency Response Plan must be approved by the Environmental Health Department(EPD)and are considererd UST Permit Conditions. The approved
<br /> monitoring,res rise,and plot plans shall be maintained onsite with the permit.
<br /> 5) The Permittee all comply with the monitoring procedures referenced in this permit.
<br /> 6) The Permittee duill perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently if specified by the equipment manufacturer,and
<br /> provide docuff entation of such servicing to this office,
<br /> 7) In the event of a spill,leak,or other unauthorized release,the Permutes shall comply with the requirements of Title 23 CCR Chap.16,An.5,and the approved Emergency Response Plan.
<br /> 8) Written record 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 chau ge in equipment,design or operation of the UST system(including change in lank contents or wage),the Permit to Operate will be subject to review,modification or
<br /> revocation.
<br /> 11) Construction, pair and/or removal permits are required from the ERD prior to any change,repair or removal of UST system equipment.
<br /> 12) The Permittee hall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the daze 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"Conditions "Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated.
<br /> PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s)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 Facility ID FA0016523
<br /> Regulated Fad l Account ID
<br /> 4219 E MORADA LN AR0029109
<br /> STOCKTON CA 95212 Issued 214/2011
<br /> Billing Addle s: ATTN : RALEY'S
<br /> RALEYS FUEL STATION #356
<br /> 500 W CAPITOL AVE
<br /> SACRAMENTO CA 95605
<br /> 7023.rpt
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