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j SAN JOA7IJIN COUNTY PUBLIC HEALTH JieRVICES 304 E.WEBER AVE.,THIRD FLOOR • STOCKTON.CA 95202 • PHONE (209) 468-3420 KAREN FURST,M.D., M.P.H., HEALTH OFFICER DONNA HERAN,R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Program Permit Permit RecordID Number Program Code and Description Valid PR0231622 2300-UNDERGROUND STORAGE TANK FACILITY 1/1101 To 12131/01 Underground Storage Tank Program, California Health and Safety Code Div,20.Chap,6.7 and Tile-2-3-California Code of Regulations Chap.-1-6_________ _______ _ ___ _ _ P Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type 2360 7 390002316220162207 PT0004956 10,000 UNLEADED Active DOUBLEWALLED 2360 6 390002316220162206 PT0004955 10,000 MIDGRADE UNLEADED Active DOUBLE WALLED 2362 5 3.90002316220162205 PT0004954 10,000 UNLEADED Acfive DOUBLE WALLED Underground Storage Tank Permit Conditions 1) The 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 these Permit Conditions. 2) In order b maintain the operating permit,the permi holder shall comply with the H&S Code,Div.20,Chap.6.7 and 6.75;and CCR,Title 23,Chap.16 and 18,as well as mymndidons established by San Joaquin County. 3) If the Tank Operator(s)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 permt. 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Division(PHS/EHD)and are considererd UST Permit Conditions. Copies of the Procedures and Emergency Response Plan most be attached to this permit or be available for review and/or inspection at the USF site. 5) The Permittee shall comply with the monitoring procedures referenced in this permit. 6) The Perntittee 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 Permitee shall comply with the requirements of Tile 23 CCR,Chap.16,Art.5,and the approved Emergency Response Plan. 8) Writien records of all monitoring performed shall be maintained on-site by the opemtorand be available for inspection fora period of at least three fears from the date the monitoring was per limned. 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 mychmge in equipment,design or operation of the USI system(including change in tank contents or usage),the Permit to Operate will be subject b review, modification or revocation. I l) 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 Pernuttee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the anniversary date of the 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 may be 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 CONSPICUOUSLY ON THE PREMISES Regulated Facility: BEACON STATION #3756 Facility ID FA0000055 13975 E HWY 88 Account ID AR0000054 LOCKEFORD. CA 95237 Issued 3/29/2001 Billing Address: ULTRAMAR INC 685 W THIRD ST HANFORD, CA 93230-5000 7023 rpt