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SAN JOAQUIPCOUNTY&VIIF(',SWNTAL HEALTHOPARTMENT 304 R Wdxx Ave-,Third Floor•Sloclottw,CA 95202-2708•Phone(209)468-3420 Donna Haran,RF_HS.,Director Y ENVIRONMENTAL HEALTH 'SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Program - 'Permit Permit Record ID Number gramCc a and Description Valid PRO521942 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2007 To 12/31/2007 Underground Storage e nk Pro r California Health and Safe _ ode,Div_.20,Chap.6.7 and Title 23,California Code-of Regulations,Chap, 16 _ P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak 13etechon 2362 1 390005219420515702 PT0014836 15,000REGULAR UNLEADED Active,billable DOUBLE WALLED continuous Interantinl Monitoring 2360 2 390005219420515703 PTO014837 5,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring Underground Storage Tank Permit Conditions 1) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid and/or the USTsystem(s)fails to remain in compliance'with these Permit Conditions. r 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 wnsidererd UST Pemm Conditions. The approved monitoring,response,and plot plans shall be maintained onsite with the permit - - 5)' The Pemuttee shall comply with the monitoring procedures referenced in this permit. - 6) The Permittee shall perform testing andpreventive.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,thePermitee 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 EHD shag be notified of any change in ownership oroperation 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 ofUST 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 pemut. -13) This Permit to Operateshall 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: PAQ INC Tank Owner: RANCHO SAN MIGUEL INC THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES Regulated Facility: RANCHO SAN MIGUEL MARKET' FacilitylD FA0014921 1427 AIRPORT WAY Account ID AR0025464 STOCKTON CA 95205 Issued 2/13/2007 Billing Address: ATTN : SILVA, GILBERT - PAQ INC 17935 MURPHY .PARKWAY LATHROP CA 95330 7023.rpt