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SAN JOAQUIN OUNTY ENVIRONMENTAL HEALTIOPARTMENT
<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 /> Permit
<br /> Program Pe Valid
<br /> Record Number Progra IDescription
<br /> P27197 P r0019D15 2220-SMALL QUAYTITY HAZARDOUS WASTE GENERATOR FACILITY 11112010 To 1213112010
<br /> ,15116
<br /> (Hazardious Was -Generator P
<br /> In r to maint `n 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-et se ,_and Title 22,California Code of Regulations,Chap-20, __- ---------------
<br /> PRO524617 2300-UNDERGROUND STORAGE TANK FACILITY 1/112010 To 12/31/2010
<br /> Underground Stow a Tank Pro ram:
<br /> California Health grid Safety Code,Div_20,Chap.6,7 and Title 23,_California Code.of Regulations,Chap, 16:-------------
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<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 Rerstitiai 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#: 44-041169.
<br /> Underground Storage Tank Permit Conditions
<br /> 1) The Permit to perate will become void if Annual Permit Fees and Service Fees are not paid and/or the UST syslem(s)fails in remain in Compliance with these Permit Conditions.
<br /> 2) In order to mai lain 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 O rater(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 O r and tank Operator receive a copy of the permit.
<br /> 4) Written Mout ring Procedures and an Emergency Response Pian must be approved by the Environmental Health Department(EHD)and are considererd UST Permit Conditions. The approved
<br /> monitoring,reE 3anse,and plot plans shall be maintained onsite with the pemdl.
<br /> 5) The Permittee hall comply with the monitoring Procedures referenced in this permit.
<br /> 6) The Percrome shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently if specified by the equipment manufacturer,end
<br /> provide docu entation of such servicing to this once.
<br /> 7) In the event o a spill,leak,or other unauthorized release,the Permitee shall comply with the requirements of Title 23 CCA Chap.16,Ar.5,and the approved Emergency Response Plan.
<br /> 8) Written recor,s 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 arty change in equipment,design or operation of the UST system(including change in tank contents or usage),the Permit to Operate will he subject to review,modification or
<br /> revocation.
<br /> 11) Construction,tepair and/or removal permits are required from the EHD prior to any change,repair or removal of OST system equipment.
<br /> 12) The Permute shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the date of the issuance of this Permit.
<br /> 13) This Permit Operate shall not be considered permission to violate any laws,ordinances at statutes of any other Federal,State or Local agency.
<br /> 14) A"Condition f'Permit may be 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: RALEYS
<br /> DBA: RALEY'S
<br /> Tank Owner: RALEYS FAMILY OF FINE STORES
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Far lily: RALEYS FUEL STATION #356 FacilityID FA0016523
<br /> 4219 E MORADA LN Account ID AR0029109
<br /> STOCKTON CA 95212 Issued 2/1012010
<br /> Billing Add ss: ATTN : RALEY'S
<br /> RALEYS FUEL STATION 4356
<br /> 500 IN CAPITOL AVE
<br /> SACRAMENTO CA 95605
<br /> 7023.rp1
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