SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 600 E. Main St. • Stockton,CA 95202-3029 •Phone(209)468-3420
<br /> Donna Heron,R.E.H.S.,Director
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Pro d Permit Program Code and Description Permit
<br /> Valid
<br /> \tBO527197 PT0019015 222 SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2009 To 12/31/2009
<br /> Wastt Generator Pro ra
<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 et seg,_and Title 22,California Code of Regulations,Chap,20,
<br /> PRO524617 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2009 To 12/31/2009
<br /> Underground Storage Tank Program
<br /> California Health and Safety Code,Div_........... 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 Cortinuous Interstitial Monitonng
<br /> 2350 3 390005246170515789 PT0016814 10,000 DIESEL Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> BOE ID#: 44.031849
<br /> Undergroupd Storage Tank Permit Conditions
<br /> 1) The Permit to ,rate will become void if Annual Permit Fees and Service Fees are not paid and/or the UST systems)fails to remain in compliance with these Permit Conditions.
<br /> m
<br /> 2) In order to air rain the operating permit,the owner and operator shall comply with the H&S Code,Div.20,Chep.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 O
<br /> rat 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 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(Elm)and are considererd UST Peanut Conditions. The approved
<br /> 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 4hall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently if specified by the equipment manufacturer,and
<br /> provide doe um notion of such servicing to this office.
<br /> 7) In the event of i spill,leak,or other unauthorized release,the Permitee 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 ic notified of any change in ownership or operation of the UST system within 30 days of such change.
<br /> 10) Upon any chane 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,rc pair and/or removal permits are required from the EHD prior to my change,repair or removal of UST system equipment.
<br /> 12) The Permittee a all 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 to peal[,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 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 /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility: RALEY'S FUEL STATION#356 Facility ID FA0016523
<br /> 4219 E MORADA LN Account ID AR0029109
<br /> STOCKTON CA 95212 Issued 2/4/2009
<br /> Billing Andres : ATTN : RALEY'S
<br /> RALEY'S FUEL STATION #356
<br /> 500 W CAPITOL AVE
<br /> SACRAMENTO CA 95605.
<br /> 7023.rp1
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