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0 SAN JOA(J#IN COUNTY PUBLIC HEALTH A ICES 304 E. WEBER AVE., THIRD FLOOR - STOCKTON, CA 95202 • PHONE (209) 468-3420 KAREN FURST, M.D., M.F.H., HEALTH OFFICER DONNA RERAN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION ENVIRONMENTAL HJ,ALI-11 SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Permit Program Permit Program Code and Description Valid Record dD Number 1/1101 To 12131101 PR0231441 2300 - UNDERGROUND STORAGE TANK FACILITY Underground Storage Tank Proclram_ California Health and Safety Code Div_ 20, Chap_ 6.7 and Title 23 Califomia Code of Regulations Chap._16. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - Permit Status System Type Leak Detection er REGULAR UNLEADED Active UUUt5LL VVNLLCV ^^ "-'- 2360 6 390002314410508158 PT0009567 14,000 DouBLE WALLED ELECTRNC L LEAK DTEC 2362 5 390002314410508157 PT0009566 14,000 REGULAR UNLEADED Active Underground Storage Tante Perntit Conditions 1) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid and/or the UST systems) fails to remain in compliance with these Permit Conditions. 2) In order to maintain the operating permit, the permit holder shall comply with the H&S Code, Div. 20, Chap. 6.7 and 6,75; and CCR, Titk 23, Chap. 1 b and 18, as Weil as any conditions established by San Joaquin County. 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 yr operator of the tank, the Permittee shall ensure that both the Tank Owner and tank Operator receive a copy of the permit. 4) Writ .n Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Division (PHSIEHD) and are cvnsidererd UST Permit Conditions. Copies ofthe 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 Permilee 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 bythe operatorand be available for inspection fora 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 tank contents or usage), the Permit to Operate will he subject to review, modification or revocation. d 1) Construction, repair and/or removal permits are required from the PHS/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 of the anniversary date ofthe 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 maybe 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: ULTRAMAR INC THIS FORM MUST BE DISPLAYED CON Regulated Facility; BEACON STATION #3492* 470 N MAIN ST MANTECA. CA 95336 Billing Address: ULTRAMAR INC 685 W THIRD ST HANFORD, CA 93230-5000 7023.rpt 0 Y ON THE PREMISES 0 Facility ID Account ID Issued FA0003604 AR0003182 312912001