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r I� <br /> SAN JOAQUIN COUNTY:ENVIROIWENTAL HEALTH DEPARTMENT <br /> 504 E.Weber Ave.,Third Floor a Stodnon,CA 95202-2708 a Phone(209)468-3420 <br /> Donna Heran, REH.S.,Director <br /> SAN Q[MnaMn,f.E.HI & <br /> A ENCY <br /> PERMIT TO OPERATE <br /> Program Permit Permit <br /> Recurs ID Number Program Code and Description Valid_ _ <br /> PR0518485 PT0012046 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2005 To 12131/2005 <br /> Haz:Jrdous 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,Art.2-13, <br /> an_d 7it_I_e 22,Califemia Code of Regulations,Chap 20______ <br /> ---2 fifomla_---deof--- Cha ----------- ------------------------'------ <br /> R023i622 2300-UNDERGROUND STORAGE TANK FACILITY 1/112005 To 1213112005 <br /> r round Stor a Tank Program: <br /> Cal'rforma ealth and Safety Code,Div.20,Chap.6.7 and Title 23,California Code of Regulations,Chap,16_- --------------------------------------------- <br /> ._. ____. __ -. __ __.__.__. _ .__ ... <br /> L P/E Tank A :ank Record 1D Pei nit 0 Capacity Contents Permit Status System Type Leak Detection <br /> 2362 5 390002316220162205 PT0004954 10,000 REGULAR UNLEADED A:tive,billable DOUBLE WALLED ccabnucus Interstitial moman.q <br /> 2360 6 390002316220162206 PT0004955 10,000 MIDGRADE UNLEADED Active,billable DOUBLE WALUFD conmucos auerstival 44cmtogop <br /> 2360 7 39000231622,0162207 PTOOD4956 10,000 PREMIUM UNLEADED ,Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> ,'V It*:-'44-W2�t6' <br /> rU-itderground Storage Tank Permit Conditions <br /> 1) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid and/or the UST sysmm(s)fails to remain it,compliance with these Permit Conditions. <br /> 2) In order to maintain the operating permit,the owner and operator shall comply with the HRS 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 Joaquin County. <br /> 3) 1 f the Tank('pentior(s)is different from the Tank Owner,or if the Permit to Operate is issued to a person other than the owner or epemmr of the tank,the Permittee shall ensure that both <br /> Ihv Tank Owner and tank Operator receive a copy of the permit <br /> 4) Written Monitoring Procedures aid an Emergency Response Plan most be approved by the Environmental Health Department(EUD)and are considererd UST Permit Conditions. The approved <br /> monitoring,response,mmdplct plan,shall be maintained onsite with the permit. <br /> 5) The Penniaee shah 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 if specified by the equipment manufacturer,and <br /> provide documemaLon of such servicing to this once - <br /> 7) In the event of a spill,leak,or other unauthorized release,the Pemmitee shall comply with the requirements of Title 23 CCR,Chap. 16,An.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 for a period of at least three years from the date the monitoring w3 <br /> Performed. <br /> 9) The E•HD shall be notified of any change in ownership or operation of the UST system within 30 days of such chvmge. <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) Contraction,reprr and/or removal permits are required from the END prior to any change,repair or removal of UST system equipment. <br /> 12) The Permittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the date of the issuance of this permit. <br /> 13) This Permit to Operate shad rut be considered permission to violate any laws,ordinances or statutes of any other Federal,State or Local agency. <br /> 14) A"Conditional"Permit may be revoked ifcorrections specified on the inspection report are not completed by the dates) indicated. <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> Ltomax® <br /> PERMIT(s)Valid onl;for. USA PETROLEUM CO <br /> Tank Owner: USA PETROLEUM CORP <br /> `— THIS FORM MAST BE DISPLA\'ED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: USA GASOLINE#3756' Facility ID FA000OD66 <br /> 13975 E HWY 88 Account ID ARD000054 <br /> LOCKEFORD, CA 95237 Issued Y1'10/2005 <br /> Billing Address: ATTN : CATHY DIAZ <br /> USA GASOLINE #3756* <br /> 905 RANCHO CONEJO BLVD <br /> NEWBURY PARK, CA 91320-1716 <br /> 7023 rpt <br />