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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.Weber Ave.,Third Floor• Stockton,CA 95202-2708• Phone(209)468-3420 <br /> Donna Heran,R.E.H.S.,Director <br /> ENVIRONMENTAL TH <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 /> PR0518577 PT0012113 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2003 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 Title 22,California Code of Regulations,Chap.20------ ------------------- <br /> PR0232519 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2003 To 12/31/2003 <br /> Underground Storage Tank Program: <br /> California Health andSafety Code,Div.20 ,Chap._6.7 and Title 23,California Code-of Regulations,Chap_16. ____-------------------------- ------------------------ <br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection <br /> 2360 3 390002325190251903 PT0006773 12,000 REGULAR UNLEADED Active,billable DOUBLE WALLED continuous Intenatiat Monitoring <br /> 2360 2 390002325190251902 PT0006771 12,000 REGULAR UNLEADED Active,billable DOUBLE WALLED continuous interstitial Monitoring <br /> 2362 1 390002325190251901 PT0006769 12,000 REGULAR UNLEADED Active,billable DOUBLE WALLED continuous interstitial Monitoring <br /> Underground Storage Tank Permit Conditions <br /> 1) The Permit to Operate will become void if Annual Permit Fees and Senice Fees are not paid and/or the UST systems)fails to remain incompliance 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 Operators)is di fferent from the Tank Owner,or i f 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 pemtit. <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 of a spill,leak,or other unauthorized release,the Permitee shall 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 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 or the CST 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 /> 11) I!V&%6glbn,repair and/or removal permits are required from the EHD 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 anniversary date of the issuance of this permit. <br /> 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. <br /> 14) A"Conditional"Permit maybe revoked if corrections specified on the inspection report are not completed by the date(s) indicated. <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> �0111 so-11111 --Illll 111,111 <br /> PERMIT(s)Valid only for: WOOLSEY OIL INC <br /> DBA: NORM'S 76 <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility. NORM'S 76* Facility ID FA0000483 <br /> 633 E VICTOR RD#A Account ID AR0010576 <br /> LODI, CA 95240 Issued 5/1!2003 <br /> Billing Address: <br /> WOOLSEY OIL INC <br /> 166 FRANK WEST CIR <br /> STOCKTON, CA 95206 <br /> 7023.rpt <br />