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***CORRECTED*** <br /> SAN JOAQ C® DEM <br /> MMENT <br /> 304 E' Ave..ThW F6or 9 Swdwn,CA 95202-2708 0 <br /> Phone(209)468-Donna 3420 ILE.H.S.,Dkector <br /> SAN <br /> AI'MRONMNTAL COUNTY CERVI <br /> ED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Program Permit <br /> Record ID Number Program Code and Description <br /> PR051$453 PT0012030 2220-SMALL QUANTITY N <br /> California Health Permit <br /> s ener t r P ra ; DOU8 WASTE GENERATOR FAGILITY Valid <br /> and Safe 1/1/2003 To 12/31/2003 <br /> ------•- �Cade_Dlv.20,Chap;6.5,Art,2-13,Sec,25.100 et_se ,and <br /> rt e r n to n P Q_...- <br /> Titl22,Cafornia BID <br /> PR0231346 e --- ----------Co-d----f--R o-atio-ns..,Ch.a ,20.2300.UNDERGROUND STORAGE TANK FACILITY _- -.- <br /> CaPifOrnia Health and Safe 1/1/2003 To 12/31/2003 <br /> --------•___________________ _�Ct�de,Div.20,Cha 6.7 and Title 23,California Code of R mations,Gha 16.__ <br /> P/B ank# Tan Rec4 — ... --------•---------------- <br /> Permit# Ca <br /> 2360 5 390002313460507187 PT0009249 14p,130 REGULAR NLEADED Fermat Status <br /> System ype k Detection <br /> 2352 4 390002313460507186 PT0009248 14,130 PREMIUM UNLEADED Active,billable Dou9LE WALLED Continuous Irt6ratitlet Monitoring <br /> Active,billable DOUBLE WALLED Continuous Inters5w monitoring <br /> 71) Tbe <br /> rground Storage Tank Permit Conditions <br /> ermit to Operate will become void if Annual Permit Fees and Service Fees are not laid and/or the LIST s <br /> 2) In order to maintain the operating permit the oa i1Cr ystem(s)fails to remain in compliance with these Permit Conditions. <br /> established by San Joaquin County. 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 /> 3) If the Tank Operator(s)is different from the Tank Owner,or if the Permit to <br /> tax Tank Owner and tank Operate is issued to a Parson other Man the owner or operator of the tank,the Permittee shall ensure that both <br /> Operator receive a copy O the permit. <br /> 4) Wolman Monitoring r asp n s procedures and an all c racy Res�nse 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 he maintained onsite with the pemtit. <br /> The Pem*Ve shall comply with the monitoring procedures referenced in this permit. <br /> ".r The Permittee shall Perform testing and preventive maintenance on all leak detection monitorin a ut <br /> provide documentation of such servicing to this office. 1S q pment annually,or more frequently if specified by the equipment manufacturer,and <br /> 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 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 /> 11) MWIM111h,repair and/or removal pemtits are required Cram the EHD prior to any change,repair or removal of UST system ys 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 taws,ordinances or statutes of any other Fedual.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 /> PERMIT(S)Valid Only for: USA PETROLEUM CORP <br /> Tank Owner: USA GASOLINE#3513 <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: USA GASOLINE#3513 Facility ID FA0003603 <br /> 401 W KETTLEMAN LN Account ID AR0003181 <br /> LODI, CA 95240 Issued 5/15/2003 <br /> —�' Billing Address: <br /> USA GASOLINE #3513 <br /> 30101 AGOURA CT #200 <br /> AGOURA DILLS, CA 91301 <br /> 7o23.rpt <br />