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SAN JOA( COUNTY PUBLIC HEALTH SEICES <br /> 304 E.WEBER AVE.,TN RD FLOOR • STOCKTON,CA 95202 • Pit( (209)468-3420 <br /> KAREN FURST, M.D., M.P.H., HEALTH OFFICER <br /> DONNA HERAN, R.E.H.S., DIRECTOR ENVIRONMENTAI. HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERNUT TO OPERATE <br /> Program Pernut <br /> Record ID Number Program Code and Description crnul <br /> Valid <br /> PR023145 2300-UNDERGROUND STORAGE TANK FACILITY 111/00 To 12131/00 <br /> Underground Storage Tank Program: <br /> California Health and Safety Code Div.20, Chap.6.7 and Title 23 California Code of Regulations Chap. 16. <br /> larkil I ilolt Kccorllerne apace y I,on ens ITUTUINaRLIS .ys err ypc <br /> Active DOUBLE WALLED <br /> 2360 6 390002314590505044 PT0007658 6,000 OTHER Active DOUBLE WALLED <br /> 2360 5 390002314590505043 PT0007657 12,000 UNLEADED Active DOUBLE WALLED <br /> BOE]D#: 44-024702 <br /> Underground Storage Tank Permit Conditions <br /> I) 'Phe 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 <br /> these Perini Conditions. <br /> 2) In order to maintain the operating permit,the pemtit holdcrshall comply with the 11&S Code, Div.20,Chap.6.7 and 6.75;and CCR,Title 23,Chap. 16 and <br /> 18,as well as any conditions established by San Joaquin County, <br /> 3) Iflhe Tnnk Operalor(s)is different from the Tank Owner,or ifthe Permit to Operate is issued to a person other than the owner or operator of the tank,the <br /> Permittee shall ensure that both the Tank Owner and tank Operator receive a copy of the perm it. <br /> 4) Written Monitoring Procedures and an Emergency 12esp0nse Plan must be appproved by the Environmental 11ealth Division(PIIS/EHl))and are considerent <br /> USTPemrit Conditions. Copies ofthe Procedures and Eniergency Response Plan must be attached to this permit orbe available for review and/or inspection <br /> 5) 9thc'$CMS ttcic shall comply with the monitoring procedures rcfcrrcnced in this permit. <br /> 6) 1lie Permittee shall perform testing and preventive maintenance on all Irak detection monitoring equipment annually,or more frequently ifspecified by the <br /> equipment manufacturer,and provide documentation of such servicing to this office. <br /> 7) In the event of spill,leak,or other unauthorized release,the Pemii(ee shall comply with the requirements of Title 23 CCR,Chap. 16,Art.5,and the <br /> approved Emergency Response Plan. <br /> 8) Written records of all monitoring pafbnned shall be maintained on-si(e by theoperator and be available for inspection for a period of at(cast three years <br /> Iiom the date the monitoring was perlbnned. <br /> 9) The PHS/EIiD shall be notified of any change in ownership or operation orthe UST system within 30 days of such change. <br /> 10) Upon any change in equipment,design oroperation ofthe USTsystem(including change in tank contents or usage),the Pemril to Operate will be subjectto <br /> review,modification or revocation. <br /> 11) Construction,repair and/or removal permits are required from the PHS/El-ID prior to any change,repair or removal of US'r system equipment. <br /> 12) The Permittee shall submit an annual report documenting cmnpliance with the UST Permit Conditions within 30 days oflheanniversary date ofthe issuance <br /> of this permi(. <br /> 13) '/'his Permit to Operate shall not be considered permission to violate any Imus,ordinances or statutes of any other Federal,Slate or Local agency. <br /> 14) A"Conditional'Permit may be revoked if corrections specified on the inspection report are not completed by the dale(s) indicated. <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: THOMAS, YOUSIFF <br /> DBA: THOMAS TEXACO <br /> Tank Owner. THOMAS YOUSIFF <br /> l'l1IS FORM RIUS"1'IIF DISPLAYED CONSPICUOUSLY ON 111E PREMISES <br /> Regulated Facility: THOMAS TEXACO Facility 1D FA0003677 <br /> 824 E YOSEMITE AVE Account ID AR0008600 <br /> MANTECA, CA 95336 Issued 110/9/2000 <br /> Billing Address: ATTN : THOMAS YOUSIFF <br /> THOMAS TEXACO <br /> 824 E YOSEMITE <br /> MANTECA, CA 95336 <br /> 7023.rpt 6 0 <br />