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SAN JOAQL1N COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.Weber Ave.,Third Floor•Smdcton,CA 95202-2708• Phone(209)468-3420 <br /> Donna Heron,R-F-H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Permit <br /> Program Permit Valid <br /> Record ID Number Program Code and Description <br /> PR0518485 PT0012046 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1@003 To 12/31/2003 <br /> Hazardous Waste Generator Program: - <br /> California Health and Safety Code,Div.20,Chap.6,5,Art_2.13,Sec,25100 et seq,and Tide 22,Califomia Code of Regulationsa Chap,20r_ ____ _____________ <br /> PR0231622 2300-UNDERGROUND STO ANK FACILITY 1/1/2003 To.12131/2003 <br /> Underground Storage Tank Program: <br /> California Health and Safety Code,Div.20,Chap.6.7 and Itle 23,California Code of Regulations,Chypp, 16------------------______________._____._._...____.__ <br /> ------------' -- - -----' <br /> P/E Tank# Tynk Record ID Permit# C acity Contents P st Status System Type Leak Detection <br /> 2360 7 390002315220162207 PT0004956 1 ,000 PREMIUM UNLEADED A ve,billable DOUBLE WALLED continuous mtenuual Monitoring <br /> 2360 6 %390002316220162206 PT0004955 1 000 MIDGRADE UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> 2362 ` 39000231 220162205 PT0004954 10 0 REGULAR UNLEADED Active,billable DOUBLE WALLED Continucus Interstitial Monitoring <br /> U derground Stor4ge Tank Permit Conditions <br /> 1) The re it to will become void if Annual Permit Fees and 'cc Fees anot paid or the UST system(s)fails to remain in compliance with these Permit Conditions. <br /> 2) In order to maintain the operating permit,die owner and operator shag ce with the H&S C ,Div.20,Chap.6.7 and 6.75;and CCR,Tide 23,Chap.16 and 18,as well as any conditions <br /> established by San Joaquin County. <br /> 3) If the Tank Operator(s)is different from the Tank Owner,or if the Permit Opetate is' wed 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 permit. <br /> 4) Written Monitoring Procedures and an Emergency Response Plan must be appro b Environmental Health Department(EEIDI and are co <br /> msidererd U57 Pemdt Conditions. The approved <br /> monitoring,response,and plot plans shall be maintained onsite with the permit. <br /> 5) The Pemnnee shall comply with the monitoring procedures referenced in this pc L <br /> 6) The Pemriuce shall perform testing and preventive maintenance on all leak tech monitoring equipment annually,or more frequently if specified by the equipment manufacturer,and <br /> provide documentation of such servicing to this office. <br /> 7) In the event of spill,leak,or other unauthorized release,the Permitee 1 comply h the requirements of Title 23 CCR.Chap.16,Art.5,and the approved Emergency Response Plan. <br /> 8) Written records of all monitoring performed shall be maintained mn by the operator d be available for inspection for 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 the UST system within 30 ys of such change. <br /> 10) Upon any change in equipment,design or operation of the US ystem(including change in contents or usage),the Permit to Operate will be subject to inview,modification or <br /> 11) MWARIba repair and/or removal permits are required from EHD prior m any change,repair or moval of UST system equipment. <br /> 12) The Permittee shall submit an annual report documenting mpliance with the UST Permit Conditi within 30 days of the anniversary date of the issuance of this permit. <br /> 13) This Permit to Operate shall not be considered pennissi to violate any laws,ordinances or statutes o y other Federal,State or Local agency. <br /> 14) A"Conditional"Permit may be revoked if corectio specified on the inspection report are not compl by the date(s) indicated. <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s Valid only for: USA PETROLEUM CORP <br /> THIS FORM MUST RE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> R <br /> Facility ID <br /> Regulated Facility: USA GASOLINE#3756 0000055 <br /> 13975 E HWY 88 Account ID A000 . <br /> LOCKEFORD, CA 95237 Issued 511120033 <br /> Billing Address: <br /> USA GASOLINE #3756 <br /> 30101 AGOURA CT #200 <br /> AGOURA HILLS, CA 91301 <br /> 7023.rpt <br />