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} SAN JOAN COUNTY PUBLIC HEALTH S*ICES 304 E.WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 • PHONE(209)468-3420 KAREN FURST, M.D.,M.P.H., HEALTH OFFICER DONNA RERAN,R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE ermit am errtutumber PrValid rogr Record lD Nogram Code and Description -UNDERGROUND STORAGE TANK FACILITY PR023168 2300 111100 To 12131100 Underground Storage Tank Program: California Health and Safety Code Div.20,Chap.6.7 and Title 23 California Code of Regulations Chap. 16. - -- - - - -- - - Err __ _ _ _ __ _ an o apo i on en erml us ys m ype on I Iona DIESEL Active DOUBLEWALLED INTERSTITAL MONITOR 2360 7 390002315850507147 PT0009230 4,000 DOUBLE WALLED INTERSTITAL MONITOR 2360 6 390002315850507146 PT0009229 4,000 PREMIUM UNLEADED Active DOUBLE WALLED INTERsrIrAL MONITOR 2360 5 390002315850507145 PT0009228 12,000 REGULAR UNLEADED Active 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 systems)fails to remain in compliance w h these Permit Conditions. 2) In order to maintain the operating permit,the permit holder shall comply With the H&S Code,Div.20,Chap.6.7 and 6.75;and CCR,'Title 23,Chap. 16 an 18,as well as any conditions established by San Joaquin County. 3) If the Tank O erator(s)is different from the Tank Owner,or if the Permit to Operate is issued m a person other than the owner or operator of the tank,the Permittee shaft ensure that both the Tank Owner and tannkk Operator receive a copy of the permit. are 4) Written alth D USTPemu C ndittions.Procedures pies of the Procedures ands Emergesepncy Response Plan must beeattEnvironmental ed o[ ethislpermit rbesavaiable or�revr review and/or inspection V tita UST site. 5) I ne YUSTentus t shall comply with the monitoring procedures referenced in this permit. 6) The.Permittee shall perform testing and preventive maintenance on ail leak detection monitoring equipment annually,or more frequently if specified by the equipment manufacturer,and provide documentation of such seryicing to this office. 7) In the event of a spill,leak,or other unauthorized release,the Pernitee shall comply with the requirements of Title 23 CCR,Chap. l6.Art.S,and the approved Emergency Response an. 8) rrmiheecorrdsofdate the nall monitoriring ng performed shall be maintained by the operator and be available for inspection fora period ofat least twee years 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 or operation of the UST system(including change in tank contents or usage),the Permit to Operate will be subjectto 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 UST Permit Conditions within 30 days of the anniversary 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 wrections specified on the inspection report are not completed by the dates) indicated. PERMITS TO OPERATE are NOT TRANSFERABLE r and may be SUSPENDED or REVOKED for cause. PERMIT(s)Valid only for: DHOOT BROS PARTNERSHIP INC DBA: JOE'S TRAVEL PLAZA Tank Owner: DHOOT, KASHMIR THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREhI1SE5 Facility ID FA0000174 Regulated Facility: JOE'S TRAVEL PLAZA Account ID AR0005118 15600 S HARLAN RD Issued 9/28/2000 LATHROP, CA 95330 Billing Address: ATTN : JOE'S TRAVEL PLAZA JOE'S TRAVEL PLAZA 15600 S HARLAN RD LATHROP, CA 95,3. 0 7023.rp1