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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.Weber Ave.,Third Floor• Stockton,CA 95202-2708• Phone(209)468-3420 <br /> Donna Heran,RE-H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Permit <br /> Valid <br /> Program Permit <br /> Record ID Number Program Code and Description <br /> PRO50574 2300-UNDERGROUND STORAGE TANK FACILITY 1/112002 To 12/31/2002 <br /> Underground Storage Tank Program: -_ <br /> - ----------------------------------------- <br /> California Hea_I_t_h_a_n_d Safety Code Div.20,Chap_6.7 and Title 23 California Code of Regulations Chaa:s _ ___--_ _ Leak Detection <br /> Contents Permit Status System Type <br /> P/E Tank# Tank Record ID Permit# Capacity REGULAR UNLEADED Active billable DOUBLE WALLED Continuous Interstitial <br /> Monitoring <br /> 2360 2 390005057460505748 7T0008277 12,000 DOUBLE WALLED Continuous Interstitial <br /> REGULAR UNLEADED Active,billable Monitoring <br /> 2360 3 390005057460505749 PT0008276 8,000 DOUBLE WALLED Continuous Interstitial <br /> 2362 1 390005057460505747 PT0008275 20,000 <br /> DIESEL Active,billable _ Monitoring <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 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,Title 23,Chap.16 and 18,as well as any <br /> conditions established 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 shall ensure that <br /> both the Tank Owner and tank 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 <br /> approved monitoring,response,and plot plans shall be maintained onsite with the permit. <br /> 5) The Permittee 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, <br /> and 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 <br /> Plan. <br /> d on-site by the operator and be available for inspection for a period of at least three years from the date the monitoring <br /> g) Written records of all monitoring performed shall be maintaine <br /> was 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 /> l 1) 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 anniversary 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 maybe 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: CALIFORNIA FUEL STOPS INC <br /> Tank Owner: FUEL STOPS LAND 8r DEVEL LLC <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Facility ID FA0006977 <br /> Regulated Facility: TIGER EXPRESS#1* Account ID AR0009954 <br /> 5777 S FRENCH CAMP RD Issued 3129/2002 <br /> FRENCH CAMP. CA 95231 <br /> Billing Address: ATTN : CALIFORNIA FUEL STOPS INC <br /> CALIFORNIA FUEL STOPS INC <br /> PO BOX 1207 <br /> STOCKTON, CA 95201 <br /> 7023.rpt <br />