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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.Weber Ave.,Third Floor•Stockton,CA 95202-2705• Phone(209)468-3420 <br /> Donna Heran,REH.S.,Director <br /> ENVIRONMENTAL PROGRAMELT <br /> SAN JQAGENCY <br /> PERMIT TO OPERATE <br /> Perini[ <br /> Program Permit Valid <br /> Record ID Number Program Code and Description <br /> PRO521738 2300-UNDERGROUND STORAGE TANK FACILITY 11112004 To 1213112004 <br /> Underground Storage Tank Proararn: <br /> California Health and Safety Code_Div_20,Chap._.... and Title 2.. California Code of Regulatlonst Chap_16. _-__.-___--------__---__-....--. <br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detation <br /> PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> 2370 3 390005217380515691 PT0014692 12,000 DIESEL Active,billable DOUBLE WALLED Continuous Interstitial Mmitonng <br /> 2370 2 390005217380515690 PT0014691 8,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial monitonng <br /> 2372 1 390005217380515689 PT0014690 20,000 <br /> Underground Storage Tank Permit Conditions <br /> 1) The Permit to Operate will become void if Annost Permit Fees and Service Fees are not paid and/or the UST systems)fails to remain in compliance with Nese Permit Conditions. <br /> 2) in order to maintain the operating pemd4 the owner and operator shall comply with the H&S Code,Div.20,Chap.6.7 and 6.75;and CCR Tide 23,Chap.16 and is,as well as any conditions <br /> established by San Joaquin County. <br /> 3) If the Tank Operaton(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 Penmimee shall ensure that both <br /> the Tank Owner and lank Operator receive a copy of the permit. <br /> d by the E <br /> 4) Written Monitoring Procedures and an Emergency Response Plan must be approvenvirommental Health Department(EHD)and are considercrd UST Pemtit Condition. The approved <br /> monitoring,response,and plot plans shall be maintained onsite with the pemdt <br /> 5) The Permince shall comply with the monitoring procedues referenced in this permit <br /> 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 <br /> provide documentation of such servicing to this office. <br /> 7) In the event of a spill,leak,or other unauthorized release,the Permitee shall comply with the requirements of Title 23 CCR Chap.16,Am 5,and the approved Emergency Response Plan. <br /> g) Written records of all monitoring performed shall be maintained on-site by the operator and be available for inspection for a period of at least three years from the dale the monitoring was <br /> performed. <br /> 9) The 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 UST system(including change in tank contents or usage),the Permit to Operate will be subject to review,modification or <br /> 11) Lq&%1&Mbn,repair andnor removal pemuks are required from the EHD prior to any change,repair or removal of UST system equipmmc <br /> 12) The Permute shall submit an annual upon documenting compliance with the UST Pemtil Conditions within 30 days of the dam of the issuance of this 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 maybe 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 for: JD SINGH SERVICE STATIONS, INC <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Facility ID 00 <br /> Regulated Facility. UNOCAUSUBWAY A count ID A AR17 <br /> 251 <br /> 26485 THORNTON RD# 11 <br /> STOCKTON, CA 95209 sued 4111/200412004 <br /> 1 <br /> Billing Address: ATTN : TD SINGH SERVICE STATIONS, INC <br /> UNOCAL/SUBWAY <br /> 2410 TECADO TERRACE <br /> FREMONT, CA 94539 <br /> 7023.rpt <br />