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SAN JOAON COUNTY PUBLIC HEALTH S*ICES <br /> 304 E.WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 • PHONE(209)468-3420 <br /> KAREN FURST, M.D., M.P.H., HEALTH OFFICER <br /> DONNA HERAN, R.E.H.S,, DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> rogranm Permit Permit <br /> Rccord ID Number Program Code and Description Valid <br /> PR023176 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/00 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 /> 1,717 1 ank ly I anK KCCorderne apace y Contents Pernut Status ,ys em I ypc 1.caK L)Ctcc Ion <br /> 2380 7 390002317650503747 PT0007422 12,000 DIESEL Active <br /> 2360 6 390002317650503746 PT0007421 10,000 PREMIUM UNLEADED Active DOUBLE WALLED INTERSTITAL MONITOR <br /> 2360 5 390002317650503745 PT0007420 10,000 REGULAR UNLEADED Active DOUBLE WALLED INTERSTITAL MONITOR <br /> 843E It3# �40019t39 <br /> Underground Storage Tank Permit Conditions <br /> 1) The Permit to Operate wit I become void if Annual Permit Fees and Service Fees are not paid and/or the UST system(s)fails to remain in compliance with <br /> these Permit Conditions. <br /> 2) In order to maintain the operatingpermit,the permit holder shall comply with the H&S Code,Div.20,Chap.6.7 and 6.75;and CCR,Title 23,Chap. 16 and <br /> 18,as well as any conditions established by San Joaquin County. <br /> 3) IfthcTank Operator(s)is dillerent from the Tank Owner,or if the Permit to Operate is issued to a person other than the owner or operator ofthc 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/El-ID)and are considcrerd <br /> UST Permit Conditions. Copies of the Procedures and Emergency Response Plan must be attached to this permit or be available for review and/or inspection <br /> 5) �tth UST site. <br /> lmeP('ennittee shall comply with the monitoring procedures reterrenecd in this permit. <br /> 6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently ifspecificd by the <br /> equipment manufacturer,and provide documentation of such servicing to this office. <br /> 7) In the event of spill,leak,or other unauthorized release,the Permitee 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(lie operator and be available for inspection for a period of at least three years <br /> from the date the monitoring was performed. <br /> 9) The PHS/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 <br /> review,modification or revocation. <br /> 11) Construction,repair and/or removal permits are required from the PIIS/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 ofthe issuance <br /> 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 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: NELLA OIL CO <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: NELLA OIL CO#427 CARDLOCK Facility ID FA0003600 <br /> 3300 WATERLOO RD Account lD AR0007722 <br /> STOCKTON, CA 95205 Issued 10/9/2000 <br /> Billing Address: ATTN : NELLA OIL CO <br /> NELLA OIL CO <br /> 2349 RICKENBACKER WY <br /> AUBURN, CA 95602 <br /> 7023.rpt <br />