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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.Weber Ave.,Third Floor•Stodtton,CA 95202-2708• Phone(209)468-3420 <br /> Donna H�e/rainn,, ILE.HH..S..,�Director <br /> +�/�� <br /> SAN JWMTY'CER7YFIED'DftIFIED-PR&VAtENCY <br /> PERMIT TO OPERATE - <br /> Program Permit <br /> Record to Number Program Code and Description Permit <br /> Valid <br /> PRO521637 2300-UNDERGROUND STORAGE TANK FACILITY 1/112005 To 1213112005 <br /> Underground Storage Tank Program: <br /> California Health and Safety Code,Div.20,Chap.6.7 and Title 23,California Code of Regulations,Chap: 16__ <br /> -------------'-------- --------- ------------------------------' ---- —- ---------------------------- <br /> IP/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection <br /> 2362 1 390005215370515674 PT0014539 20,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> 2360 2 390005215370515675 PT0014540 10,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> 2360 3 390005215370515730 PT0015332 5,000 DIESEL Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> Underground Storage Tank Permit Conditions <br /> I) The Permit to Operate will become void if Annual Permit Fees and Service Fees am not paid and/or the UST system(s)fails to remain in compliance with these Permit Conditions. <br /> 2) In order to maintain the operating permit,the owner and operator 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 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 to Operate is issued 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 approved by the Environmental Health Department(EHD)and are considererd UST Permit Conditions. The approved <br /> monitoring,response,and plot plans shall be maintained onsite with the permit. <br /> 5) The Permittee shall 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 documentation of such servicing to this office. <br /> 7) In the event ora spill,leak,or other unauthorized release,the Pennime shal I comply with 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 on-site by the operator and be available for inspection for a pend 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 of the UST system within 30 days of such change. <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) Construction,repair and/or removal permits are required from the DID prior to any change,repair or removal of UST system equipment. <br /> 12) The Pemniuee 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 /> B) This Permit to Operate shall not 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 if corrections specified on the inspection report are not completed by the date(s) indicated. <br /> s <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: HIRBOD ENTERPRISES INC <br /> DBA: BEDROCK OIL <br /> THIS FORM MUST HE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: TRACY CHEVRON STATION Facility lD FA0014623 <br /> 2615 W GRANT LINE RD Account ID AR0024874 <br /> TRACY, CA 95304 Issued 2/10/2006 <br /> Billing Address: ATTN : BEDROCK OIL — SAM HIRBOD <br /> TRACY CHEVRON STATION <br /> 5111 BOLLINGER CANYON RD <br /> SAN RAMON, CA 94583-5186 <br /> 7023.rpt <br />