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IL SAN OAQUIN COUNTY PUBLIC HEALTOERVICES 304 E.WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 • PHONE (209) 468-3420 KAREN FURsT, M.D., M.PH., HEALTH OFFICER DONNA HERAN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE WOM4— Program Permit 177 77 Record ID Number Program Code and Description Valid PR023175 2300-UNDERGROUND STORAGE TANK FACILITY 1/1100 To 12:31 Underground Storage Tank Program: California Health and Safety Coda Div.20,Chap.6.7 and Title 23 California Code of Regulations Chap. 16. - - --- -- - - - - - - - - - -- - -- - -- --- -- --- -- - - - --- ------ __ - - - - - -- - - Flh lanKII I anK Recordermr apacr y on en s Permit Status LeaK UtJ�NL1057 Conditional 2360 4 390002317560504800 PT0007481 12,000 REGULAR UNLEADED Conditional INTERSTITAL MONITC 2360 6 390002317560504802 PT0007480 10,000 PREMIUM UNLEADED Conditional INTERSTITAL MCNITC B-O 'ID#: 44-024859' Underground Storage Tank Permit Conditions 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 incompliance with these Permit Conditions. 2) In order to maintain the aperatur� mit,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 any conditions established by San Joaquin County. 3) IftheTank 0perator(s)is different from the Tank Owner,or if the Permit to Operate is issued to a person other than the owner or operatorof 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 approved by the Environmental Health Division(PHS/EHD)and are considererd UST Permit Conditions. Copies of the Procedures and Emergency Response Plan must be attached to this permit or be available for review and/or inspectic WhUST site. 5) Permittee shall comply with the monitoring procedures referrenced in this permit. 6) The Permittee shall perform testin4,and preventive maintenance on all leak detection monitoring equipment annual ly,or more frequently if specified by the equipment manufacturer,and provide documentation of such servicing to this office. 7) In the event of spill,leak,or other unauthorized release,the Pemtitee shall comply with the requirements of Title 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 operator and be available for inspection for a 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 of the UST system(including change in tank contents or usage),the Permit to Operate will be subjec review,modification orrevocation. 1 l) Construction,repair and/or removal permits are required from the PHSIEHD 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 issu 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 date(s) indicated. PERMITS TO OPERATE are NOT TRANSFERABLE and may be SUSPENDED or REVOKED for cause. A PERMIT(s)Valid only for: DO, KHAI DBA: FAST GAS Tank Owner: KAI DO, Q THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES Regulated Facility: FAST GAS* Facility ID FA00063 2350 E WATERLOO RD Account ID AR0007E STOCKTON, CA 95205 Issued 9129120[ Billing Address: ATTN : KHAI DO FAST GAS" 681 DOTEY CT SAN JOSE, CA 95111 7023_rpt