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<br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 600 E. Main St. a Stockton,CA 95202-3029 a Phone (209)468-3420
<br /> Donna Heran, R.E.H.S., Director
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERj!LjgR=TE
<br /> Permit
<br /> Program Valid
<br /> Reco umber Progra Code end Description !*CORRECTED*
<br /> PR 527197 P 0019015 22 SMALL QUANTITY HAZARD ASTE GENERATOR FACILITY 1/112008 To 1213112008
<br /> ro ram:
<br /> In order to maintai i 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 etre and Title 221California Code of Regulations,Chap.20, --_____ ________________________________.__.______..._.___-____._._.____..___---_____
<br /> PRO524617 2300-UNDERGROUND STORAGE TANK FACILITY 1/112008 To 12/3112008
<br /> Under round Stor me Tank Pro ram:
<br /> California Health nd Safety Code, Div.20,-Chap.6. 7 and Title 23,California Code of Regulations,Chap:16. ________________________
<br /> P/E Tank il Tank Record ID Permit p Capacity Contents Permit Status System Type Leak Detection
<br /> 2352 1 005246170515787 PT0016813 20,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 90
<br /> 2350 2 390005246170515788 PT0016812 12,000 PREMIUM UNLEADED Active,billable DOUBLE.WALLED Continuous lnlersthal Monitoring
<br /> 2350 3 390005246170515789 PT0016814 10,000 DIESEL Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> BCSL^7 = 3984s .,tix
<br /> Underground 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 /> 2) In order to main in 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 S to Joaquin County.
<br /> 3) If the Tank Opc 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 Owne and tank Operator receive a copy of the permit
<br /> 4) Written Monitor ug Procedures and an Emergency Response Plan most 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 Pemnttee shall comply with the monitoring procedures referenced in this permit.
<br /> 6) The Penniree'jl„_II 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 of a spill,leak,or other unauthorized release,the Permitee shall comply with the requirements of Title 23 CCR,Chap,16,Am 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 tlree years from the date the monitoring was
<br /> performed.
<br /> 9) The EHD shell t is notified of any change in ownership or operation of the UST system within 30 days of such change.
<br /> 10) Upon any chanj c 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,rev and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment.
<br /> 12) The Permittee sl 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 Operate 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 arc 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 Facili : RALEY'S FUEL STATION #356 Facility ID FA0016523
<br /> 4219 E MORADA LN Account ID AR0029109
<br /> STOCKTON CA 95212 Issued 3/612008
<br /> Billing Addre :.. ATTN - RALEY'S -
<br /> RALEY'S FUEL STATION #356
<br /> 500 WCAPITOL AVE
<br /> SACRAMENTO CA 95605
<br /> 702e:rpl
<br />
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