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- a<' �. r _ SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 304 E.Weber Ave.,Third Floor o Stockton,CA 95202-2708 a Phone(209)468-3420 Donna Heran, R-E.H.S., Director SAN CQUNI CERTIFIE FOIE Ift µ PERMIT TO OPERATE Permit Program Permit Record 1D Number Program Code and Description Valid PR0518421 PT0012010 '2220'-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2005 To 12/31/2005 Hazardous Waste Generator Program: &. 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, Sec.25100 et seg,amu Title 22,California_Code_ f Regulations,Chap.20 _ -------------- ------------ ----- ------- ----- -------- - - --------------------------- PR0231072 2300-UND OUND STORAGE TANK FACILITY 1/1/2005 To 12/31/2005 Allnderaround Storage Tank Program: '—CaliforniaHealth and SafetyCode,Div.20,Chai).6.7 and Title 2California Code Regulations,Chap- 16.________________ ---_ --------_ ----_ -'_ -----_ _--- t -- -- nia ---------- -- ----- - ------------- PIE --- ----- p --------------------------------------- PIE Tank# Tank Record ID Permit# CapacityContents Permit Status System Type Leak Detection 2362 5 390002310720505812 PT0008344 .12,000 REGULAR UNLEADED Conditional DOUBLE WALLED Continuous Interstitial Monitoring 2360 6 390002310720505813 PT0008343 8;000 PREMIUM UNLEADED Conditional DOUBLE WALLED Continuous Interstitial Monitoring 2360 7 390002310720505814 PT0008342 4,000 DIESEL Conditional DOUBLE WALLED Continuous Interstitial Monitoring 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 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 established by San Joaquin County. 31 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. tF 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Department(EHD)and are considererd UST Permitl:Conditions. The approved monitoring,response,and plot plans shall be maintained onsite with the permit. 5) The Pennittee shall comply with the monitoring procedures referenced 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 by the operator and be available for inspection for a period of at least three years from the date the monitoring was performed. 9) The 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 of the UST system(including change in tank contents or usage),the Permit to Operate will be subject tom* modification or revocation. 11) Construction,repair and/or removal permits are required from the 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 date of the issuance of thus 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. I PERMITS TO OPERATE are NOT TRANSFERABLE and may be SUSPENDED or REVOKED for cause. :.j PERMIT(s)Valid only for: USA PETROLEUM CO Tank Owner: PALISADES GAS AND WASH �— THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON TIIE PREMISES r Regulated Facility: USA GASOLINE#835 Facility ID FA0002048 2705 COUNTRY CLUB BLVD Account ID,AR000341 0 STOCKTON, CA 95204 Issued 2/10/2005 ;A Billing Address: USA GASOLINE #835 905 RANCHO CONEJO BLVD NEWBURY PARK, CA . 91320-1716 7023.rpt ` r