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S v SAN JORQUIN COUNTY PUBLIC HEALTARVICES 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 PERMTF TO OPERATE Program Permit Permit Record ID Number Program Code and Description Valid PR0231243 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/01 To 12/31/01 Underground Storage Tank Prooram: California Health and Safety Code Div_20,Chap_6.7 and Title 23 California Code of R_e_guiations Chap.16________ P/E Tank# Tank Record ID Permit# Capacity Contents Permit Stains System Type Leak Detection 2362 3 390002312430124303 PT0006629 12,000 DIESEL Active DOUBLEWALLED INTERSTITAL MONITOR B0E lDf-. 44-024600 , Underground Storage Tank Per Conditions I) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid and/or the USf system(s)fails to remain in compliance with these Permit Conditions. 2) In order b maintain the operating permit,the permit holder shall complywith the H&S Code,Div.20,Chap.6.7 and 6.75;and OCR,Title 23,Chap. 16 and 18,as well as any conditions established by San Joaquin County, 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,th a 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 approved by the Environmental Health Division(PHS/EHD)and are considerer)UST Permit Conditions. Copies of the Procedures and Emergency Response Plan must be attached to this permit or be available for review and/or inspection at the UST site. 5) The Permittee shall comply with the monitoring procedures referrenced in this permit. 6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently if specified bythe equipment menu facturer,and provide documentation of such servicing to this office. 7) In the event of spilt leak,or other unauthorized release,the Permitee shall 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 shall be maintained on-site by the 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 any change in equipment,design or operation ofthe UST system(including change in tank contents or usage),the Permit to Opemte 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 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. 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 date(s) indicated. PERMITS TO OPERATE are NOT TRANSFERABLE and may be SUSPENDED or REVOKED for cause. PERMIT(s)Valid only for: ANGELICA TEXTILE SERVICES Tank Owner: ANGELICA WESTERN RENTAL THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES Regulated Facility: ANGELICA TEXTILE SERVICES Facility ID FA0004068 1145 S SIERRA NEVADA ST Account ID AR0003724 STOCKTON. CA 95205 Issued 312912001 Billing Address: ATTN : ANGELICA TEXTILE SERVICES ANGELICA TEXTILE SERVICES 700 ROSEDALE AVE ST. LOUIS, MO 63112-1408 7023,rpt