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<br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> ' 1868 E.Hazelton Ave. Stockton, CA 95205-6232 • Phone(209)468-3420
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<br /> :rte• Donna Heran,R.E.H.S.,Director
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit Permit
<br /> Record ID Number Program Code and Description Valid
<br /> PRO519024 PT0012263 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2013 To 1 2/3112 01 3
<br /> Hazardous Waste Generator Program:
<br /> In order to maintain the permit to operate, Hazardous Waste Generators shall comply with California Health and Safety Code,Div.20,Chap.6.5,Art.2-13,
<br /> Sec.25100 t seq,and Title 22,California Code of Regutions,Chap. 20, ------------------------------------------
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<br /> PR0231454 2300-UNDERGROUND STORAGE TANK FACILITY x' "� %. 1/1/2013 To 12/31/2013
<br /> tlUnder r und)Storacie Tank Program:
<br /> California ealth and Safety Code, Div.20, Chap.6.7 and Title 23, California Code of Regulations,Chap._16. ____
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<br /> P Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2362 4 390002314540145404 PT0004902 12,000 REGULAR UNLEADED Active, billable DOUBLE-WALL Continuous Interstitial Monitoring
<br /> 2360 5 390002314540145405 PT0007718 12,000 PREMIUM UNLEADED Active,billable DOUBLE-WALL Continuous Interstitial Monitoring
<br /> BOE ID#: 44045952 t1 �
<br /> Under round Stora a Tank Permit Conditions i x7r k f q
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<br /> I) 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.
<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.
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<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 Pennit Conditions. The approved
<br /> monitoring,response,and plot plans shall be maintained onsite with the permit.
<br /> 5) The Pennittee 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 /> ti > 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. w
<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 /> 1 1) Construction,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment. new
<br /> 12) This Permit to Operate shall not be considered permission to violate any laws,ordinances.or statutes of any other Federal,State or Local agency. `
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<br /> 13) A"Conditional'Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated,
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<br /> PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(S) Valid only for: STATEWIDE PETROLEUM INC
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> STATEWIDE PETROLEUM INC
<br /> Facility ID FA0003796 1
<br /> Regulated Facility: p t s
<br /> t� 1700 E YOSEMITE AVE 3 Account ID AR0003381
<br /> ' 0"Mariz,4' ;:u s - >b Issued
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<br /> MANTECA CA 95336 w �L I PER
<br /> 2/19/2013 ,
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<br /> Billing Address. ATTN DOSANJH, TERRI
<br /> STATEWIDE PETROLEUM INC
<br /> 1700 E YOSEMITE AVE . ,
<br /> MANTECA CA 95336
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