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SAN JUAN COUNTY PUBLIC HEALTH SLICES <br /> 304 E. WEBER AVE.,THIRD F1.0011 STOCKTON,CA 95202 PHONE (209) 468-3420 <br /> KAREN FORST, M.D., M.P.H., HEALTH OFFICER <br /> DONNA IIFIZAN, R.L.H.S., DIRrci-m ENVIRONMENTAL HFAI.xII DIVISION <br /> ENVIRONMENTAL HEALTH <br /> �r <br /> SAN JOAQUIN COUNTY CERTIFIED UNI FI ED PROGRAM AGENCY <br /> PERMIT TO OPERATE .'. <br /> Program Ilernrit permit <br /> Record II) Number Program Code and Description Valid ` <br /> PR023175 2300-UNDERGROUND STORAGE TANK FACILITY 1/1700 To 12/31/00 <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 /> ank 4 1 5111Z Recolc errrr apace y on ens erne a us .ys cna ype ,ca e ec uin <br /> 2360 7 390002317580508271 PY0009638 4,000 DIESEL Active <br /> 2360 6 390002317580508270 PT0009637 8,000 PREMIUM UNLEADED Active DOUBLE WALLED AUTOMATIC TANK GUAGE <br /> 2360 5 390002317580508269 PT0009636 10,000 REGULAR UNLEADED Active DOUBLE WALLED AUTOMATIC TANK GUAGE <br /> Underground Storage Tank Permit Conditions <br /> I) The Permit to Operate wil I become void if Annual Pcrmit Fees and Service Fees are not paid and/or the UST system(s) fails to remain in compliance with <br /> these Pemait Conditions. <br /> 2) In order to maintain the operatingppermit,the permit holder shall comply with the I I&S Code, Div.20,Chap.6.7 and 6.75;and CCR,Ti tic 23,Chap. 16 and <br /> 18,as well as any conditions estahlishcd by San.loaquin County. <br /> 3) lithe Tank Operator(s)is different from the Twak Owner,or il'the Pennit to Operate is issued to a person other than the owner or operator of the tank,the <br /> Permittee shall ensure that both 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 Division(PI-IS/PHI))and are considererd <br /> UST Permit Conditions. Copies of the Procedures and Fluergency Response 'Ian must be attached to this permit or be available for review and/or inspection <br /> 5) thte`Permittee shall comply with the monitoring procedures refcrrenced in this permit. <br /> 6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently ifspecified by the <br /> equipment manufacturer,and provide documentation ol'such servicing to this office. <br /> 7) In the event of'a spill,leak,or other unauthorized release,the Pemaitee shall comply with the requirements of Title 23 CCR,Chap. 16,Art.5,and the <br /> 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 <br /> from the date the monitoring was performed. <br /> 9) "rhe PI IS/EHD shall be notified of any change in ownership or operation of the(1ST system within 30 days of such change. <br /> 10) Upon any change in equipmen(,design or operation ofthe UST system(including change in tank contents or usage),the Pemtit to Operate will be subject to <br /> review,modification or revocation. <br /> 1 1) Construction,repair and/or removal permits are required From file PI IS/H 11)prior to any change,repair or removal of I IST system aluipmenl. <br /> 12) The Permittee shall submit an annual report documenting compliance with the UST Permit Condilions within 30 days of the anniversary dateofthc issuance <br /> ofthis permit. <br /> 13) This Permit to Operate shall not be considered permission to violafc am laws.ordinances or stalules of am other Federal,State or I.ocal 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 /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s) Valid only for: SIDHU, GURPAL ETAL <br /> DBA: WATERLOO FOOD & FUEL <br /> Tank Owner: SIDHU, GURPAL ET AL <br /> 'rills FORM NIUS'1til;DISPLAYED CONSPICUOUSLY ONTHE HE PREMISES <br /> Regulated Facility: WATERLOO FOOD & FUEL* Facility ID FA0002127 <br /> 3032 E WATERLOO RD Account ID AR0002135 <br /> STOCKTON, CA 95205 Issued 10/9/2000 <br /> Billing Address: ATTN : GURPAL SIDHU <br /> SIDHU, GURPAL ETAL <br /> 4826 HILLSBORO WAY <br /> STOCKTON, CA 95207 <br /> 7023.rpt 6 0 <br />