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SAN JUIN COUNTY PUBLIC HEALTI�RVICES 304 E.WEBER AV ., HIRD FLOOR • STOCKTON,C. 95202 HONE (209) 468-3420 KAREN FURST, M.D., M.P.H., HEALTH OFFICER DONNA HERAN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNI FI ED PROGRAM AGENCY PERMIT TO OPERATE Pro gram ermrt Record ID Number Program Code and Description Permit Valid PR0Underground 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/00 To 12/31/00 Undergrourgrou nd Storage Tank Program California Health and Safety Code Div. 20,Chap.6.7 and Title 23 California Code of Regulations Chap. 16. 11717 Iankg an cor ennl apace y ,on cn s cnnl a us ,-system YPc ea c ec Ion e IVB 2360 5 390002313890138905 PT0004237 10,000 UNLEADED Active DOUBLE WALLED INVENTORY RECIMANUAL 2360 4 390002313890138904 PT0004230 10,000 UNLEADED Active DOUBLE WALLED INVENTORY RECIMANUAL BOE"ID#: 44-024660 ` 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 UST system(s)fails to remain in compliance with these Permit Conditions. 2) In order to maintain the operatingpermit, the permit holder 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) Ifthe Tank O cralor(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 lank,the i'ermiltee shaftensure 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 Division(PHS/EHD)and are considererd UST Permit Conditions. Copies of the Procedures and Emergency Response Plan most be attached to this permit or be available forreview and/or inspection 5) llhlcsermitittee shall comply with the monitoring procedures referrenced in this permit. 6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently ifspecified by the equipment manufacturer,and provide documentation ofsuch servicing to this office. 7) In the event of a spill,leak,or other unauthorized release,the Permilee shall comply with the requirements of Title23 CCR Chap. 16,Art.5,and lie approved Emergency Response Plan. 8) Written records of all monitoring performed shall be maintained on-site by lheoperalor and be available for inspection fora period ofal least three years from the date the monitoring was performed. 9) The PHS/EHD 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 oroperation of the USTsystem(including change in lank contents or usage),the Permit to Operate will be subjectio review,modification or revocation. 11) Construction,repair and/or removal permits are required from the PHS/EHD prior to any change,repair or removal of UST system equipment. 12) The Permittee shall submit an annual report documenting compliance with the USTPermit Conditions within 30 days oftheanniversary dateof(he 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,Stale or Local agency. 14) A"Conditional'Permit may be revoked if corrections specified on the inspection report are not completed by the dales) indicated. PERMITS TO OPERATE are NOT TRANSFERABLE and may be SUSPENDED or REVOKED for cause. PERMIT(s)Valid only for: ULTRAMAR INC ]'ITIS FORM NIUIBE IIV PI,AVEI)CONSPICIIOUSI,Y ON TIIF,PKEMISF,S Regulated Facility: BEACON #698 Facility ID FA0003709 153 E 11TH ST Account ID AR0003288 TRACY, CA 95376 Issued 1011012000 Billing Address: ATTN : LICENSE DEPARTMENT ULTRAMAR INC PO BOX 696000 SAN ANTONIO, TX 78269-6000 7023.rpt 0 0