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Y ^ SAN JOA2iJIN COUNTY PUBLIC HEALTH SPTC(/ICES 304 E.WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 • PHONE(209)468-3420 KAREN FORST, M.D., M.P.H., HEALTH OFFICER DONNA HERAN,R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTYCERTIFI OPERATED PROGRAM AGENCY PermitPERM ogram Permit Program Code and Description Valid Record ID Number g 111100 To 12131100 PR023238 2300-UNDERGROUND STORAGE TANK FACILITY Underground Storage Tank Program: California Health and Safety Code Div.20,Chap.6.7 and Title 23 California Code of Regulations Chap. 16. _ ___ _ _ _ _ _ _ _ _ _ Pir- rve 2360 2 390002323880238802 PT0003730 12,000 UNLEADED Active 2360 1 390002323880238801 PT0003729 12,000 UNLEADED Active Underground Storage TankPermit Conditions 1) The Permit to Operate will became 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 epereting permit,the permit Folder shall comply with the H&S Code,Div.20,Chap.6.7 and 6.75;and CCR,Tide 23,Chap. 16 and 18,as well as any conditions established by San Joaquin County. 3) If the Tank 0 erator(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 both the Tank Owner and tank Operator receive a copy of the permit. 4) Written Monitoring Procedures and an Emergency Response Plan must be apprwed by the Environmental Health Division(PHS/EHD)and are considererd UST Permit Monitoring Pro. Copies of the Procedures and Emergency Response Plan must be attached to this permit orbe available for review and/or inspection �t,�UST ite. 5) re Yertnittsee shall comply with the monitoring procedures refertenced in this permit. 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,and provide documentation of such servicing 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. 16,Art.5,and the approved Emergency Response Plan. 8) crit the ate the rds of al all monitoring o t wags performed shall be maintained on-site by the operator and be available for inspection for a period of at least three 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 corrections specified on the inspection report are not completed by the datc(s) indicated. r 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 MUSIS T 5E DPLAYED CONSPICUOUSLY ON THE PREMISES Facility ID FA0003607 Regulated Facility: ARCO AM PM#5650' Account ID AR0003185 18970 N LOWER SACRAMENTO RD Issued 9/28/2000 WOODBRIDGE, CA 95258 Billing Address: ATTN : ENVIRONMENTAL HEALTH &SAFETY ARCO PRODUCTS CO PO BOX 6038 ARTESIA, CA 907'" 6038 7023 rpt