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SAN JOA*WVIN COUNTY PUBLIC HEALTH &VICES 304 E.WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 • PHONE(209)468-3420 KAREN FURST. M.D., M.P.H., HEALTH OFFICER DONNA HERRN, R.E.H.S.,DIRECTOR ENVIRONMENTAL HEALTH DIVISION ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Pmgmm Permit Permit Record ID Number Pmgmm Codeand Description Valid PR0232388 2300-UNDERGROUND STORAGE TANK FACILITY 111101 To 12131101 Underaround Storage Tank Program, California Health-and-Safety Code Div,20,Chap,6.7 and Title 23 California Code of Regulations Chap_16_____ ________ PIE Tank# Tank Record ID Permit# Capacity Contents Permit Status 2360 3 390002323880238803 PT0003731 12,000 UNLEADED Active 2360 2 390002323880238802 PT0003730 12,000 UNLEADED Active 2362 1 390002323880238801 PT0003729 12,000 UNLEADED Active Underground Storage Tank Permit Conditions I) The Permit to Operate win become void if Annual Permit Fees and Service Fees are not paid and/or the UST Wlem(s)fails toremain in compliance withthese Permit Conditions. 2) In order to maintain the operating permit,the permit holder shall complywith the H&S Code,Div.20,Chap.6.7 and 6.75;and CCR,Title 23,Chap. 16 and 18,as wen as any conditions established by San Joaquin County. 3) If the Tank Operators)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,fie Permittee shag ensure 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 tbis per ant or be available for review and/or inspection at the UST site 5) The Permittee shall comply with the monitoring procedures referenced in this permit. 6) The Pemdttee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently if specified 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 Permitee shag comply with the requirements of Tile 23 CCR,Chap.16,Art.5,and the approved Emergency Response Plan. 8) Written records of all monitoring performed shan be maintained on-site bythe operatorand be available for inspection fora period of at 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 anychange in equipment,design or operation ofthe UST system(including change in tank contents or usage),the Permit to Operate will be subject to 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 Per aittce shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the anniversary date of the issuance ofthis pemt. 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 corrections specified on the inspection report are not completed by the dates) indicated. PERMITS TO OPERATE are NOT TRANSFERABLE and may be SUSPENDED or REVOKED for cause. PERMIT(s)Valid only for: ARCO PRODUCTS CO DBA: ARCO STATION THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES Regulated Facility: ARCO AM PM #5650* Facility ID FA0003607 18970 N LOWER SACRAMENTO RD Account ID AR0003185 WOODBRIDGE. CA 95258 Issued 3/29/2001 Billing Address: ATTN : ENVIRONMENTAL HEALTH &SAFETY ARCO PRODUCTS CO PO BOX 6038 ARTESIA, CA 90702-6038 7023.rpt v/ \/