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SAN JOIN COUNTY PUBLIC HEALTHWICES <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 UNIFIED PROGRAM AGENCY <br /> PERMPI'TO OPERATE <br /> Permit <br /> Program Permit Program Code and Description Valid <br /> Record ID Number 111101 To 12131101 <br /> PR0231485 2300-UNDERGROUND STORAGE TANK FACILITY <br /> Underground Storage Tank Proaram: <br /> California Health and Safety Code Div.20,Chap:6.7 and Title 23 Califomla Code of Regulations Chap.16____________ <br /> P/E Tank# Tank Record 1D Permit# CapaciTy Contents Permit Status System Type Leak Detection <br /> DOUBLE WALLED ELECTRNC L LEAK DTEC <br /> 2362 4 390002314850506--- PT0009014 11,000 REGULARUNLEADED Conditional DOUBLE WALLED ELECTRNC L LEAK DTEC <br /> 2360 5 390002314850506699 PT0009013 4,000 DIESEL Conditional <br /> 2360 6 390002314850506700 PT0009012 5,000 PREMIUM UNLEADED Conditional DOUBLE WALLED ELECTRNC L LEAK DTEC <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 system(s)fails to remain in compliance with these Permit <br /> Conditions. <br /> 2) In order to maintain the operating permit,the permit holder shall complywith the H&S Code,Div.20,Chap.6.7 and 6.75;and CCR,Title 23,Chap.16 and 18,as well as <br /> any conditions establish ed by San Joaquin County. <br /> 3) If the Tank Operator(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 shag <br /> ensure that both 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 Division(PHS/EHD)and are considererd UST Permit <br /> Conditions. Copies of the Procedures and Emergency Response Plan must be attached to this permit or be available for review and/or inspection at the UST site. <br /> 5) The Permittee shall comply with the monitoring procedures refle renced 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 <br /> mann facturey and provide documentation of such servicing to this office. <br /> 7) In the event of a spill kale or other unauthorized release,the Permitoe shall comply with the requirements of Title 23 CCR,Chap. 16,Art.5,and the approved Emergency <br /> Response Plan. <br /> 8) Written records of all monitoring performed shall be maintained on-site bythe operatorand be available for inspection fora period of at least three years from the date the <br /> monitoring was performed. <br /> 9) The PHS/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, <br /> modification or revocation. <br /> 11) Construction,repair and/or removal pernits are required from the PHS/EHD prior to any change,repair or removal of UST system equipment. <br /> 12) The Perrmttee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the anniversary date of the issuance ofthis 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 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: THOMAS, CHACKO <br /> DBA: EMILS LIQUORS &SPORT SHOP <br /> Tank Owner: ROBERT LEASE <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: EMIL'S LIQUOR&SPORT SHOP* Facility ID FA0000306 <br /> 1405 CALIFORNIA ST Account ID AR0000305 <br /> ESCALON. CA 95320 Issued 3129/2001 <br /> Billing Address: ATTN : THOMAS, CHACKO <br /> THOMAS, CHACKO <br /> 753 CHALANE ST <br /> ESCALON, CA 95320 <br /> 7023.rpt <br />