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SAN JOA*IN COUNTY PUBLIC HEALTH SW, ICES 304 E.WEBER AVE.,THIRD FLOOR - STOCKTON,CA 95202 - PHONE(209) 468-3420 KAREN FURST,M.D.,M.P.H.,HEALTH OFFICER DONNA HERRN,R.E.H.S.,DIRECTOR ENVIRONMENTAL HEALTH DIVISION ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Permit Program Permit program Code and Description Valid Record ID Number PRO515864 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/01 To 12/31/01 Underground Storage Tank Program: California Health and Safety Code Div_20,Chap_6.7 and Title-2-3-California Code of Regulations_ Chap._16------- - ------- --------- --------- P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type 2360 3 390005158640515520 PT0011104 10,000 DIESEL Active DOUBLE WALLED 2360 2 390005158640515519 PT0011103 10,000 PREMIUM UNLEADED Active DOUBLE WALLED 2362 1 390005158640515518 PT0011102 20,000 REGULAR UNLEADED Active DOUBLE WALLED Underground Storage Tank Permit Conditions 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 these Permit Conditions. 2) In order to maintain the operating permit,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 18,as well as any conditions established by San Joaquin County. 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 the Tank Owner and tank Operator receive a copy of the permit. 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Division(PHS/EHD)and are considererd 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 at the UST site. 5) The Permittee shall comply with the monitoring procedures referrenced in this permit. 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 provide documentation of such servicing to this office. 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. 8) Written records of all monitoring performed shall be maintained on-site bythe operatorand be available for inspection fora period of at least three years from the date the monitoring was performed. 9) The PHS/EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change. 10) Upon any change in equipment,design or operation ofthe UST system(including change in tank contents or usage),the Permit to Operate will be subject b review, modification or revocation. 11) Construction,repair and/or removal permits are required from the PHS/EHD prior to any change,repair or removal of UST system equipment. 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 ofthis permit. 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. 14) A"Conditional"Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated. PERMITS TO OPERATE are NOT TRANSFERABLE and may be SUSPENDED or REVOKED for cause. PERMIT(s)Valid only for: BUZZINI,VINCE THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES Regulated Facility: YOSEMITE AVENUE SHELL Facility ID FA0012355 1330 E YOSEMITE AVE Account ID AR0020191 MANTECA. CA 95336 Issued 3/29/2001 Billing Address: ATTN : BUZZINI,VINCE BUZZINI, VINCE 4427 PEBBLE BEACH DR STOCKTON, CA 95219 7023.rpt