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SAN JOIN COUNTY PUBLIC HEALTHVICES <br /> 304 E.WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 • PHONE(209)468-3420 <br /> KAREN FURST, M.D., M.P.H., HFALTII OFFICER <br /> DONNA HFRAR R.I .H.S., DIRIcCTOR I NVIRONMLN'rAL I-IFAI.rli DIVISION <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNi FI ED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> rogram Permit Permit <br /> Record I Number Program Code and Description Valid <br /> PR023266 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 /> alir if i ank KCCorflPermit Capacity on ens Ilernut Status <br /> Active <br /> 2360 2 39000232555q255502 PT0004054 12,000 UNLEADED Active <br /> 2360 1 39000232555(?255501 PT0004053 12,000 UNLEADED Active <br /> Underground Storage'rank Permit Conditions <br /> 1) 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 <br /> these Permit Conditions. <br /> 2) in orderto maintain the operatingpermit,the permit holdershall 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) 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 1 <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(PHS/E1-ID)and are considercrd <br /> UST Permit Conditions. Copies of the Procedures and Emergency Response t'tan must be attached to this permit or be available for review and/or inspection <br /> ermitTtee s <br /> 5) � "shall comply with the monitoring procedures referrenced in this permit. <br /> 6) 'rime Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently if specified by the <br /> equipment manufacturer,and provide documentation of such servicing to this office. <br /> 7) In the event of a spill,leak,or other unauthorized release,the Permitce 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) The PHS/EMD 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 /> 1 1) Construction,repair and/or removal permits are required front the PIIS/IHD prior to any change,repair or removal of UST system equipment. a <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 <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 dalc(s) indicated. <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: PHAN, NHUAN T& PHAN, DUNG T <br /> DBA: CALIFORNIA STOP <br /> Tank Owner: LE, NHUAN T& PHAN, DUNG T <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: CALIFORNIA STOP Facility ID FA0003679 <br /> 2224 MANTHEY RD Account ID AR0003257 <br /> STOCKTON, CA 95206 Issued 10/9/2000 <br /> Billing Address: q NHUANt <br /> G T PHAN <br /> CALIF 20 NOCKTON, C <br /> 7023.rpt �. <br />