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` SANAQUIN COUNTY PUBLIC HEAL __ L VICES 304 E.WEBER ASE.,THIRD FLOOR • STO+CKTON,CA 95202 PHONE (209) 468-3420 KAREN FURST, M.D., M.P.H., HEALTH OFFICER DONNA HERAN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION ENVIRONMEN'T'AL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Permit Program Permit Valid Record ID number Program Code and Description 111!01 To 12/31101 PR0231756 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 ap. Leak -- ---Detection Permit Status PIE Tank# Tank Record 11) Permit# Capacity Contents INTERSTITAL MONITOR 24801 PT0007482 10,000 MIDGFtA.DE UNLEADED Conditional INTERSTITAL MONITOR 360 5 39000231756050 2362 4 390002317560504800 PT000748i 12,000 REGULAR UNLEADED Conditional INTERSTITAL MONITOR 2360 6 390002317560504802 PT0007480 10,000 PREMIUM UNLEADED Conditional 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 in compliance with these Permit Conditions. with the H&S Codc,Div.20,Chap.6.7 and 6.75;and CCR,Title 23,Chap.16 and 18,as well as 2) In order to maintain the operating permit,the permit holder shall comply any conditions established by San Joaquin County. 3) If the Tank Operators)is different from the Tank Owner, if the Permit to Operate is issued to a person other than the owner or operator of the tank,the Permittee Shallen sure that both the Tank Owner and tank Operator receior ve a copy of the permit. 4) Written Monitoring Procedures and an Emergency Response Plan must he 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 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 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 shall comply with the requirements of Title 23 CCR,Chap.16,Art.5,and the approved Emergency Response Plan. g) Written records of all monitoring performed shall be maintained on-site by the operator and be available for inspection far 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 ofthe UST system(including change in tankcontents 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 FHS/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 ofthe anniversarydate 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: DO, KHAI DBA: FAST GAS Tank Owner: KAI DO, Q THIS FORM MUST BE.DISPLAYED CONSPICUOUSLY ON THE PREMISES Facility ID FA0006343 Regulated Facility: FAST GAS* Account ID AR0007692 2350 E WATERLOO RD STOCKTON. CA 95205 Issued 3129/2001 Billing Address: ATTN : KHAJ DO FAST GAS* 681 DOTEY CT SAN JOSE, CA 95111 7o23.rpt