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'+ SAN JOAQUINCOUNTY ENVIRONMENTAL HEALTH D PARTMENT 304 E. Weber Ave., Third Floor • Swd ron, CA 95202.2708 • Phone (209) 4683420 Donna Heran, REHS..,Direaorr ENVIRONMENTAL IRONMENT 7u, ST NCY SAN JAQ CERTIFIED UNIFIED PROGRAM AGE PERMIT TO OPERATE Program rcmm Program Code and Description Record m Number WASTE Valid To 1 Hazardous Waste Generator Program: 9-' ' "- Califomia Health and Safety Code_, Di_v_ 20, Chap. 6,5, Art_ 2-- SBC_ 25100 et seq,_and Title 22, Califomia Code of Re uladonst Chap:.._ : _- -. 11112003 To 12/31/2003 PR0231441 2300 -UNDERGROUND STORAGE TANK FACILITY Underground Storage Tank Program: Cali fomia Health and Safely Code, Div_20, Chap_6_7 and Title- -- California Code of Regulations, Chap_ 1_ ___________________ _ i -..1. rinenrfi.m 2360 6 390002314410508158 PT0009567 14,000 PREMIUM UNLEADED Active, billable - - 2362 5 390002314410508157 PT0009566 14,000 REGULAR UNLEADED Active, billable DOUBLE WALLED Canunuas Interstitial I.bnllaing Underground Storage Tank Permit Conditions 1) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paidand/or the UST system(s) fails to remain in compliance with these Permit Conditions. 2) In order w 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. Ib and 18, as well as any conditions established by San Joaquin Cowry. 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 the Tank Owner and tank Operator receive a copy of the permit. 4) Written Monitoring Procedures and an Emergency Response Plan most be approved by the Environmental Health Department (EHD) and are considererd UST Pemut Conditions. The approved monitoring, response, and plot plans shall be maintained onsite with the permit. 5) The Pemdttee shall comply with the monitoring procedures referenced in this permit. 6) The Pennittec 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 of such servicing to this office. 7) In the event of a spill, leak, or other unauthorized release, the Permitec shall comply with the requirements of Tide 23 CCR Chap. 16, Art. 5, and the approved Emergency Response an. 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 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 subject to review, modification or 11) Th itR repair and/or removal permits are required from the EHD prior to any change, repair or removal ofUST system equipment 12) The Permittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the anniversary dale of the issuance 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 maybe revoked if corrections specified on the inspection report are not completed by the dates) indicated. ?ERMITS TO OPERATE are NUL Lrctuvarna�-a and may be SUSPENDED or REVOKED for cause. PERMIT(s) Valid only for: ULTRAMAR INC DBA: BEACON STATION 3698 THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES Regulated Facility BEACON STATION #3492* 470 N MAIN ST MANTECA, CA 95336 Billing Address: BEACON STATION #3492* 685 W THIRD ST HANFORD, CA 93230 7023.rpt Facility ID FA0003604 Account ID AR0003182 Issued 511/2003