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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 304 E.Weber Ave.,Third Floor• Stockton,CA 95202-2708• Phone(209)468-3420 Donna Henan,RE.H.S.,Director ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Program Permit Permit Record ID Number Program Code and Description Valid PR0518421 PT0012010 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2004 To 12/31/2004 Hazardous Waste Generator Program: In order to maintain the permit to operate,Hazardous Waste Generators spall comply with California Health and Safety Code, Div,20,Chap.6.5,Art.2-13, Sec.25100-et seq,and Title 22,California Code of Regulations,Chap.._20_ - ---------------- - -- ---- PR0231072 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2004 To 12/31/2004 Underground Storage Tank Program: California Health and Safety Code, Div.20,Chap.6.7 and Title 23,Califorria Code of Regulations,Chap.16_ PiE Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection 2362 5 390002310720505812 PT0008344 12,000 REGL'_-\R UNLEADED Conditional DOUBLE WALLED Continuous Interstitial Monitoring 2360 6 390002310720505813 PT0008343 8,000 PREY'_Al UNLEADED Conditional DOUBLE VIALLED Continuous Interstitial Monitoring 2360 7 390002310720505814 PT0008342 4,000 DIESEL Conditional DOUBLE VIALLED Continuous Interstitial Monitoring OOE 09.'44-011018" Underground Storage Tank Permit Conditions 1) The Permit to Operate will become void if Annual Permit Fees and Service Fees are pec 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=sS 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_issued to a person other than the owner or operator of Cne 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:�e Environmental Health Department(EHD)and are consider-rd UST Permit Conditions. The approved monitoring,response,and plot plans shall be maintained onsite with the permit. 5) The Permittee shall comply with the monitoring procedures referenced in this permit. 6) The Permittee shall perform testing and preventive maintenance on all leak detection-onitoring 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 compl}-.'.s 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 open_cr 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 w-=' 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 to review,modification or 1 l) M MiRibn,repair and/or removal permits are required from the EHD prior to any than L repair or removal of UST system equipment. 12) The Permittee shall submit an annual report documenting compliance with the UST Perrr.Conditions within 30 days of the date of the issuance of this permit 13) This Permit to Operate shall not be considered permission to violate any laws.ordinz.ts or statutes of any other Federal,State or Local agency. 14) A"Conditional'Permit may be revoked if corrections specified on the inspection retort 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: USA PETROLEUM CO Tank Owner: PALISADES GAS AND WASH THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES Regulated Facility: USA GASOLINE#835 Facility ID FA0002048 2705 COUNTRY CLUB BLVD Account ID AR0003410 STOCKTON, CA 95204 Issued 4/1/2004 Billing Address: USA PETROLEUM CO 30101 AGOURA CT AGOURA HILLS, CA 91301 7023.rpt .