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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.Weber Ave.,Third Floor• Stodrton,CA 95202-2708• Phone(209)468-3420 <br /> Donna Haan,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Permit <br /> Program Permit Valid <br /> Record ID Number Program Code and Description <br /> PRO521942 2300-UNDERGROUND STORAGE.TANK FACILITY 1/112006 To 1213112006 <br /> Underground Storage Tank Program: <br /> California Health_and Safety Code,Div.20,Chap.6.7 and Title 23,_California Code of Regulations,Chap,16_ .----_______-___-_____-___________..._._..___.__ <br /> ..___.__ . p LY - <br /> P/E Tank# Tank Record ID Permit Capacity Contents Permit Status System Type Leak Detection <br /> 2362 1 390005219420515702 PT0014836 15,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> 2360 2 390005219420515703 PT0014837 5,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> ;i <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 s*tem(s)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,Tide 23,Chap.16 and 18,as well as any conditions <br /> established by San Joaquin County. <br /> 3) If the Tank OperatoQs)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 took Operator receive a copy of the permit <br /> 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Department(EHD)and are considererd UST Permit Conditions. The approved <br /> monitoring,response,and plot plansshall be maintained onsite-with the pemot. <br /> 5) The Permium 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,and the approved Emergency Response Plan. <br /> 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 <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) 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. <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: QUINN,JOHN F <br /> DBA: RANCHO SAN MIGUEL INC - <br /> Tank Owner: RANCHO SAN MIGUEL INC <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: RANCHO SAN MIGUEL MARKET Facility ID FA0014921 <br /> 1427 AIRPORT WAY Account ID AR0025464 <br /> STOCKTON CA 95205 Issued 2/312006 <br /> Billing Address: <br /> QUINN, JOHN F <br /> 8014 LOWER SACRAMENTO RD STE #I <br /> STOCKTON CA . 95210 <br /> 7023.rpt <br />