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X <br />SAN JOAQ1R COUNTY PUBLIC HEALTH SE&CES <br />304 E. WEBER AVE., THIRD FLOOR • STOCKTON, CA 95202 • PHONE (209) 468-3420 <br />KAREN FURST, M.D., M.P.H., HEALTH OFFICER <br />DONNA RERAN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br />ENVIRONMENTAL HEALTH <br />SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br />PERMIT TO OPERATE <br />Penni/ <br />PmgmmPertni[ Program Code and Description Valid <br />Record ID Number 111/01 To 12/31101 <br />PR0505687 2300 - UNDERGROUND STORAGE TANK FACILITY <br />Underground Storage Tank Program: <br />Calif_omia Hea_It_h_a_nd Safe Code Div, 20, Chap, 6.7 and TiOe 23 California Code of Regulations Chap _16_ _ _ _ _ _ _ . _ - - <br />P/E lank # Tank Record ID ,it, Capacity Contents Permit Status System Type <br />2360 3 390005056870505690 PT0008233 10,000 UNLEADEo Active DOUBLE WALLED <br />2362 1 390005056870505688 PT0008232 15,000 UNLEADED Active DOUBLE WALLED <br />2360 2 390005056870505689 PT0008231 10,000 UNLEADED Active DOUBLEWALLED <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 <br />Conditions. <br />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 and 18, as well as <br />any 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 trial, the Permittee shall <br />ensure that 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 Division (PHS/EHD) and are considererd USTPermi[ <br />Conditions. Copies of the Procedures and Emergency Response Plan most be attached to this permit or be available for review and/or inspection at the USC site. <br />5) The Pcrniuce shall comply with the monitoring procedures referenced in this permit. <br />6) The Permittee shall performtesting and preventive maintenance on all leak detection monitoring equipment annually, or more frequently if specified by the equipment <br />manufacturer, and provide documentation ofsuch smiting to this office. <br />7) In the event of a spill, leak, or other unauthorizedrelease, the Per mite shall comply with the requirements of TRIe 23 CCR, Chap. 16, Art. 5, and the approved Emergency <br />Response Plan. <br />8) Written records of all monitoring perfomned shall be maintained on-site by the operatorand be available for inspection fora period of at least three yeas from the date the <br />monitoring was performed. <br />9) The PHS/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 USC system (including change in tank contents or usage), the Permit to Operate will be subject to review, <br />modification or revocation. <br />11) Construction, repair and/or removal permits are required from the PHS/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 ofthis 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 tor: PAK I HIAN INi <br />DBA: LATHROP CHEVRON <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Facility ID FA0006943 <br />Regulated Facility: LATHROP CHEVRON Account ID AR0009855 <br />140 LATHROP RD Issued 3/29/2001 <br />LATHROP. CA 95330 <br />Billing Address: ATTN : PARTHIAN INC <br />PARTHIAN INC <br />140 LATHROP RD <br />LATHROP, CA 95330 <br />7023.rpt <br />