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SAN JOAQUIN COUNTY ENVIRON4ENTAL HEALTH DEPARTMENT <br /> 1868 E. Hazelton Ave. • Stockton,CA 95205-6232 • Phone (209) 468-3420 <br /> Donna Heran,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Program Permit Permit <br /> Record ID Number Program Code and Description Valid <br /> ---PRO514134----PT0010337-2220 SMALL--]UAt4TUTY-HAZARDOUSWASTE-GENERATOR-FACILITY 311-2613 <br /> Hazardous Waste Generator Program: <br /> In order to maintain the permit to operate,Hazardous Waste Generators shall comply with California Health and Safety Code,Div.20,Chap.6.5,An.2-13, <br /> Sec.25100 et se q and Title 22, iforma Code of Regulations,Chap.20_ <br /> -- --- .. — ---- -- — - - - - --- <br /> PR0232482 4300•m' NDERGROUND STORAGE TANK FACILITY , 111/2013 To 12131/2013 <br /> Underground Stora a Tank ro ra <br /> California Health and Safety "o iv.20, Chap.6.7 and Title 23, California Code of Regulations,Chap. 16: -_- _ _-.--- <br /> _. ._-._.... ...._._ '------.._- ------- ------'----- ---- <br /> FT/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection <br /> 2362 1 390002324820248201 PT0004324 12,000 DIESEL Active,billable DOUBLE-WALL Coninuouslnterstilial Monitoring <br /> 2360 2 390002324820248202 PT0004325 12,000 PREMIUM UNLEADED Active,billable DOUBLE-WALL Continuous Interstitial Monitoring <br /> 2360 3 ' 390002324820248203 PT0004326 12,000 REGULAR UNLEADED Active,billable DOUBLE-WALL Continuous Interstitial Monitoring <br /> BOE ID#; 44042506 <br /> Underground Storage Tank Permit Conditions <br /> I) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid and/or the UST system(s)rails to remain incompliance with these Permit Conditions. <br /> 2) In order to maintain the operating permit,the owner and operator 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 <br /> established by San lcactun County. <br /> 3) If the Tank Operators)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 <br /> the Tank Owner and tank Operator receive a copy of the pemmit. <br /> 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Department(EHD)and no considererd UST Permit Conditions. The approved <br /> monitoring,response,and plot plans shall be maintained onsite with the permit. <br /> 5) The Pemtimee shall comply with the monitoring procedures referenced in this permit. <br /> 6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently ifspecified 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 /> 8) 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 <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 /> revocation. <br /> 11) Construction,repair and/or removal permits me required from die EHD prior to any change,repair or removal of UST system equipment. <br /> 12) 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 /> 13) A"Conditional"Permit may be revoked Tcomections specified on the inspection report are not completed by the date(s) indicated. <br /> PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s) Valid only for: SAINI, SURINDER SINGH <br /> Tank Owner: SURINDER SINGH SAINI <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> WEST LANE CHEVRON* Facility ID FA0003719 <br /> Regulated Facility: 4747 WEST LN Account ID AR0003298 <br /> STOCKTON CA 95210 Issued 2/19/2013 <br /> Billing Address ATTN : SAINI, SURINDER SINGH - <br /> SAINI, SURINDER SINGH <br /> 14823 HARBOR CT <br /> LATHROP CA 95303 <br /> 7023 rpt <br />