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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 304 E.Weber Ave.,Third Floor a Stockton,CA 95202-2708•Phone(209) 468-3420 Donna Heran,REH.S.,Director ENVIRONMENTAL HEALTH SA OAQUiN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Program Permit Per fit Record ID Num Program Code and escription Valid PRO518325 PT001 964 2220-SMA7LUANTITY HAZARDOUS WASTE GENERATOR FACILITY 111/2004 To 12/31/2004 Hazardous Waste Gen for Pro ram:In order to maintain the rmit t0 operate, rdous Waste Generators shall comply With Califomia Health and Safety Code,Div.20,Chap.6.5,AR.2.13, Sec_25100 et seq,_and Tl_a 22,Californi Code of Reguladons,Chap.20, .. - -- -______________.___----_-____________________---__-_-_-__ PR0231320 00- DERGROUND STORAGE TANK FACILITY 1/1/2004 To 12/31/2004 Underground Storage Tank Program: California Health and Safety Code:Div_20,Chap.6.7 and Tide 23,California Code of Regulations,Chap-----------------------------------------------------------16 __ ___ ___ P/E Tank# Tank Record ID Permit# Capacity CP-.:mu Permit Status System Type Leak Detection 2315 7 390002313200505585 PT0008152 10,058 PREMIUL'.;NLEADED Active,billable DOUBLE WALLED Corinna Icm,smal Monitoring 2315 6 390002313200505584 PT0008151 10,058 MIDGRACE UNLEADED Active,billable DOUBLE WALLED Contirwa N:csami Monitoring 2362 5 390002313200505574 PT0008150 12,094 REGULAR UNLEADED Active,billable DOUBLE WALLED ConeruDas lri&w Jual Monitadng BOE ID#:'-44-042046 Underground Storage Tank Permit Conditions 1) The Permit to Operate will become void if Annual Permit Pers and Service Fees are not pt:d and or the UST s<rem(s)fails to remain in compliance with these Per_;Conditions. 2) In order to maintain the operating permit.the owner and operator shall comply with the H&S Cada D:.:20.Chap.6-and 6.-3:and CCR,Title 23,Chap.16 and 18,as h.e i as=..conditions established by San Joaquin County. 3) If the Tank Operator(s)is different from the Tank Owner,or if the Permit to Operate is i ..ed to a Person other than the owner or operator of the tank,the Pernim m snail rice that both the Tank Owner and lank Operator receive a copy of the permit. 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the E.:ionrmeml Health Depamnem(END)and are considererd UST Pamtit Con,=: ons. The approved monitoring,response,and plot plans shall be maintained onsite with the permit 5) The Penn mee shall comply with the monitoring procedures referenced in this pernnt. 6) The Permittee shall perform testing and preventive maintenance on all leak detection moc:nnn_z equipment aenually..or more frequently if specified by the equipmt:canufacmrer,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 ie requirements of Title 23 CCR Chap.16.An.5,and the approved Emer_mce Response Plan. 8) Written records of all monitoring performed shall be maintained on-site by the operator=:J be available for us ection for a period of at least three years from the d --the monitoring was performed. 9) The EHD shall be notified of any change in ownership or operation of the UST system withn 3J days of such chance. 10) Upon any change in equipment.design or operation of the UST system(including chane:m tank contents or usage).the Permit to Operate will be subject to review.modification or 11) Cb78i@dL4lbn,repair and/or removal permits are required from the EHD prior to any change.repair or removal of UST system equipment 12) The Pemuuee shall submit an annual report documenting compliance with the UST Pemut Coalitions widen 30 da,s of the date of the issuance of this permit 13) This Permit to Operate shall not be considered permission to violate any laws,ordinances or stannes of any otter Federal,Suite or Local agency. 14) A"Conditional"Permit maybe revoked ifcormcdons specified on the inspection report are not completed by the dam(s) indicated. PERMITS TO OPERATE we NOT TRANSFERABLE and may be SUSPENDED or REVOKED for cause. PERMIT(s)Valid only for: USA PETROLEUM CO Tank Owner: USA PETROLEUM CORP THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES Regulated Fatality. USA GASOLINE#3502' FacilityID FA0003602 35 N CHEROKEE LN Account ID AR0003180 LODI, CA 95240 Issued 4/1/2004 Billing Address: USA PETROLEUM CO 30101 AGOURA CT AGOURA HILLS, CA 91301 7023.rpt