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SAN JOIN COUNTY PUBLIC HEALTH AVICES <br /> 304 E.WEBER AVE.,THIRD FLOOR • STOCKTON.CA 95202 • PHONE (209) 468-3420 <br /> KAREN FURST, M.D., M.P.H., HEALTH OFFICER <br /> DONNA HERAN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNI FI ED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> rogranr smut <br /> RecordID Numbcr Program Code and Description Valid <br /> PRO51654 PT00113 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 0120100 To 12131/0 <br /> Hazardous Waste Generator Program <br /> California Health and Safety Code Div.20, Chap.6.5,Art.2-13 Sec. 25100 et see,and Title 22 California Code of Regulations,Chap.20. <br /> PR023135 2300-UNDERGROUND STORAGE TANK FACILITY 0120/00 To 12/3110 <br /> Underground Storage Tank Program <br /> California Health and Safely Code Div.20, Chap.6.7 and Title 23 California Code of Regulations Chap. 16. <br /> alIK 9 1 anK Recor(I 7n - I'CFllllE 11 t apace y t on ens It,crnu . a its ys em ype I leak licicclio;I <br /> 'e-550 7 �39UUU2313560506806 PTGOU9082 6,000 PREMIUM UNLEADED Active <br /> 2360 6 390002313560506805 PT0009081 6,000 DIESEL Active DOUBLE WALLED INTERSTITAL MONITOR <br /> 2360 5 390002313560506804 PT0009080 12,000 MIDGRADE UNLEADED Active DOUBLE WALLED INTERSTITAL MONITOR <br /> 2360 4 390002313560506803 PT0009079 12,000 REGULAR UNLEADED Active DOUBLE WALLED INTERSTITAL MONITOR <br /> Underground Storage Tank Permit Conditions <br /> 1) 'f he Permit to Operate 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 <br /> these Perri it Conditions. <br /> 2) In order to maintain die operatingpermit,the Perri it holder shall coin ply with the 11&S Code, Div.20,Chap.6.7 and 6.75;and CCR,Tide 23,Chap. 16 and <br /> 18,as well as any conditions established by San Joaquin County. <br /> 3) If the Tank OpT <br /> cralor(s)is it from the Tank Owner,or if the Pent it to Opemle is issued to a person other than the owner or operator oft he tank,the <br /> Permittee shall ensure that both the ank Owner and tank Opentor receive a copy of the permit. <br /> 4) Written Monitorin$ Procedures and an Emergency Response Plan must be approved by the Environmental I lenhh Division (PHS/1-1 and are considererd <br /> ULST Penn it Conditions. Copies oflhe Procedures and Emergency Response Plan must be attached to this permit or be available for review and/or inspection <br /> 5) �thesernuttee shall comply with the monitoring procedures referrenced in this permit. <br /> 6) The Permittee shall perform leslin&and preventive maintenance on all leak detection monitoring equipment annually,or more frequently ifspecilied by the <br /> equipment manufacturer,and provide documentation ofsuch servicing to this office. <br /> 7) In the event of a spill,leak,or other unauthorized release,the Pemtitee shall comply with the requirements of Title 23 CCR,Chap. 16,Art.5,and the <br /> approved Emergency Response Plan. <br /> 8) Written records ofall monitoring performed shall he maintained on-site by Iheoperalor and be available for inspection for a period ofal least three years <br /> from the dale themonitoring was performed. <br /> 9) The PHS/EHD shall be notified of any change in ownership or operation of(lie UST system within 30 days of such change. <br /> 10) Upon my change in equipment,design or operation of the USTsystem (including change in tank contents or usage),the Permit to Operate will be subject to <br /> review,modification or revocation. <br /> 11) Construction,repair and/or removal permits are required from the PIIS/11111)prior to any change,repair or removal of UST system equipment. <br /> 12) The Permittee shall submit an annual report documenting compliance with the US'T Permit Conditions within 30 days of the anniversary date ofthe issuance <br /> of this permit. <br /> 13) This Permit to Operate shall not be considered permission to violate any Imus,ordinances or statutes of any other Federal,Slate 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: USA GASOLINE CORP <br /> Tank Owner: U S A GASOLINE CORP <br /> 'I'1IIS I OItM Ml1S"f 111<UISI'I,A 1411)CONSI'ICIIOIISI,Y ON'1'111,,PREMISES <br /> Regulated Facility: USA GASOLINE CORP#65 Facility 1D FA0003815 <br /> 2500 W LODI AVE Account ID AR0003402 <br /> LODI, CA 95240 Issued 11/30/2000 <br /> Billing Address: ATTN : C I DIAZ/USA GASOLINE CORP <br /> USA GASOLINE CORP#65 <br /> 30101 AGOURA CT <br /> AGOURA HILLS, CA 91301 <br /> 7023.rp1 <br />