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• ***CORRECTED*** • <br /> SAN JOAQUIN C�JNn ENVIRONMENTAL HEALTH DORTMENT <br /> 304 E.Wcber Ave.,Third Floor•Stockton,CA 95202-2708• Phone(209)468-3420 <br /> Donna Horan,RE.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> r I': Program Permit Permit <br /> Record ID Number Pmgmm Code and Description Valid <br /> PR0516543 PT0011351 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/12003 To 12131/2003 <br /> Hazardous Waste Generator Program: <br /> California Health and Safety Code,Div.20,Chap;6S:Art_2,13,Sec_25100 et seq,and TiOe 22,Califomia Code of Regulations,Chap_20------------------------ _ <br /> PR0231356 2300•UNDERGROUND STORAGE TANK FACILITY 11112003 To 1213112003 <br /> Underground Storage Tank Program: <br /> CalifomiaHealth and Safety Codei Div.20,-Chap.6.7 and TiOe 23,-Califomia Code of Regulations,Chap:16:... <br /> ML Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection <br /> 2360 . 7 390002313560506806 PT0009082 6,000' PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monnonrg <br /> .'2360 .. 6 390002313560506805 PTOOQ9081 6,000 DIESEL Active,billable DOUBLE WALLED Continuous Interstitial Monitoong <br /> 2360 5 390002313560506804 PT0009080 12,000 MIDGRADE UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Mcnitaing <br /> 2362 4 390002313560506803 PT0009079 12,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Inlenstival Monitoring <br /> Underground Storage Tank Permit Conditions <br /> I) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid and/or the Uremain <br /> ST syslem(s)fails to in compliance with these Permit Conditions. <br /> 2) .In order to maintain the operating pemuy the owner and opemlor 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 u any conditions <br /> established by San Joaquin County. <br /> 3) If the Tank Operalor(s)is different from the Tank Owner,or if the Pemnit to Operate is issued to a person other than the owner or operator of the lank,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 most be approved by the Environmental Health Department(END)and are comiderend UST Pemdt Conditions. The approved <br /> monitoring,response,and plot plans shall be maintained onsile with the pemdL <br />'•a 1) <br /> ..The Pemuttim shall comply with the monitoring procedures referenced in this pemdL <br /> 6) The Permitter 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 ofa spill,leak,or other unauthorized release,the Permitce 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 BUD 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 will be subject to review,modification or <br /> 11) Cd7d'1Aglbn,repair and/or removal pcmdLs are required from the EHD prior to any change,repair or removal of UST system equipment <br /> 12) The Peroiu a shall submit an annual report documenting compliance with die UST Permit Conditions within 30 days of the anniversary date of the issuance of this permit. <br /> 13) This Permit to Operate that l not be considered permission to violate any laws,ordinances or statures of any other Federal,State or Local agency. <br /> t4) A"Conditional"Permit may be revoked if corrections specified on the inspection report aro not completed by the datc(s) indicated. <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: KRISTMONT WEST, INC <br /> DBA: USA GASOLINE CORP <br /> Tank Owner: U S A GASOLINE CORP <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility. USA GASOLINE#65 Facility l0 FA0003815 <br /> 2500 W LODI AVE Account ID AR0003402 <br /> LODI,CA 95240 Issued 5115/2063 <br /> Billing Address: <br /> : USA GASOLINE #65 <br /> 30101 AGOURA CT #200 <br /> AGOURA HILLS, CA 91301 <br /> .7023 rpt <br />