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a� s SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 304 E.Weber Ave.,Third Floor•Stodoon,CA 95202-2708• Phone(209)468-3420 �-r 7� �RD{onnnnaa Heran,7FLEE,`.H'.SS..,TD.irector SAN JDA'`Q�)IN"CT7171V'i�Y'C 1r 1CII19[ =4&VA1ENCY _ PERMIT TO OPERATE Permit Program Permit Valid Record ID Number Program Code and Description PRO621866 2300-UNDERGROUND STORAGE TANK FACILITY 1/112005 To 12/31/2005 Underground Storage Tank Program: California Health and Safety Code,Div.20,Chap.6.7 and Title 23,California Code of Regulations,_Chap,16. _ - ._---------___ ___---------- --- ------ -- ---------- �' P/E Tank# Tak R necon ID Fermi 1# CaP act Contents Penni[Status System Type Leak Detection 2372 1 390005218660515700 PT0014774 15,000 REGULAR UNLEADED Active,billable DOUBLE WALLED continuous Interstitial Monitoring 2370 2 390005218660515701 PT0014775 5,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED continuous Interstitial Monitoring Underground Storage Tank Permit Conditions I) 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 Conditions. 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 as any conditions established by San Joaquin County. 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 shall ensure that both the Tank Owner and tank Operator receive a copy of the permit. 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Department(EHD)and are considerer]UST Permit Conditions. The approved monitoring,response,and plot plans shall be maintained onsite with the permit. 5) The Permittee shall comply with the monitoring procedures referenced in this permit. 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 provide documentation of such servicing to this office. 7) In the event of a spill,leak,or other unauthorized release,the Penmitee shall comply with the requirements of Title 23 CCR Chap.16,Art.5,and the approved Emergency Response Plan. 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 performed. 9) The E14D shall be notified of any change in ownership or operation of the UST system within 30 days of such change. 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 revocation. 11) Construction,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment. 12) The Permittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the date of the issuance of this permit. 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. 14) A"Conditional"Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated. PERMITS TO OPERATE are NOT TRANSFERABLE and may be SUSPENDED or REVOKED for cause. PERMIT(s)Valid only for: QUINN,JOHN F DBA: RANCHO SAN MIGUEL INC Tank Owner: RANCHO SAN MIGUEL MARKET THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES Regulated Facility: RANCHO SAN MIGUEL MARKET' Facility ID FA0014852 610 S CHEROKEE LN Account ID AR0025355 LODI, CA 95240 Issued 2/1012005 Billing Address: ATTN : RANCHO SAN MIGUEL INC RANCHO SAN MIGUEL MARKET* 8014 LOWER SACRAMENTO RD STE 1 STOCKTON, CA 95210 7023.rp1