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SAN JOAQUOOUNTY ENVIItONMENTAL HEALTREPARTMENT <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 /> Program Permit - - Permit <br /> Record ID. Number Program Cade and Description - Valid <br /> PRO516543 - PT0011351 ..2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2012 To 12131/2012 <br /> Hazardous Waste Generator Program <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 seq,and Title 22,California Code of Regulations, Chap.20- <br /> PR0231356 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2012.To -----------12/31/2012 <br /> Underground Storage Tank Program <br /> California Health and Safety Code,Div.20,Chap 6.7_apd TRIe 23,balrforma Code ofRegulations Chap, 16.- <br /> ------- ---- ---- ----` - ------ --...-_. <br /> P/E Tank H Tank Record ID Permit 4 Capacity Contents Permit Status System Type Leak.Detechon <br /> 2362 4 390002313560506803 PT0009079 12,000 .REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> 2360 5 390002313560506804 PT0009080 12,000 MIDGRADE UNLEADED Active,billable DOUBLE WALLED continuous Interstitial Monitoring <br /> 2360 6 390002313560506805 PT0009081 6,000 DIESEL Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> 2360 7 390002313560506806 PT0009082 6,000 PREMIUM UNLEADED Active,billableDOUBLE WALLED Continuous Interstitial Monitoring <br /> Underground Storage Tank Permit Conditions <br /> 1) The Permit to Operate 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 maintain 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 many conditions <br /> established by San Joaquin County: - <br /> 3) If the Tank Operators)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 most be approved by the Enviammeutal Health Department(EHD)and are considererd UST.Permit Conditions. The approved <br /> monitoring,response,and plot plans shall be maintainedansite.with the permit. <br /> S) The Permittee shall comply with the monitoring procedures referenced in this permit. <br /> 6) The Permittee 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 of a spill,leak,or other unauthorized release,the Permitee shall comply with the requirements of Title 23 CCR,Chap. 16,Art.5,end the approved Emergency Response Plan. <br /> 8) Written recordsof 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 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 /> revocation. <br /> 11) Construction,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment <br /> 12) 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 /> 13) 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 may be SUSPENDED Or REVOKED for cause.. <br /> PERMIT(s)Valid only for: TESORO REFINING 8r MARKETING CO <br /> Tank Owner: TESORO WEST COAST COMPANY LLC <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: USA GAS STATION#68154" Facility ID FA0003815 <br /> 2500 W LODI AVE Account to AR0003402 <br /> LODI CA 95240 Issued 2/28/2012 <br /> Billing Address: LISA-GARCIA, MS: TX1-022 <br /> TESORO REFINING &MARKETING CO' <br /> 19100 RIDGEWOOD PKWY <br /> SAN ANTONIO TX 78259 <br /> 7023 pt <br />