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K. Ll OX -11 <br />4 <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />304 E. Weber Ave., Third Floor Stockton, CA 95202-2708 Phone (209) 468-3420 <br />Donna Heran, R-E.H.S., Director <br />SAN XwCP6GNP"TtJiQIFI ENCY <br />PERMIT TO OPERATE �}'* <br />t <br />Program Permit Permit <br />Record 1D Number Program Code and Description Valid <br />PRO518325 PT0011964 2220 - SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2005 To 12/31/2005 <br />Hazardous Waste Generator Program: <br />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, <br />Sec. 25100 e� ,_-_-__--tt a £1;`6a_fornia_Code of Regulations, Chap. 20_ <br />P 1320 2300 - U DERGROUND STORAGE TANK FACILITY 1/1/2005 To 12/31/2005 <br />n rou_rd Stora a Tank Pro ram: <br />California e y Code, Div. 20, Chap. 6.7 and Title 2.3, California Code of Regulations, Chap_ 16. <br />------ ------------ ------ --------, <br />Ph, Tank # Tark Record ID Permit # Capacity Contents Permit Status System Type Leak Detection <br />2'362 5 390002313200505574 PT0008150 12,094 REGULAR UNLEADED Active, billable DOUBLE WALLED Continuous Interstitia! Monitoring <br />2360 6 390002313200505584 PT0008151 10,058 MIDGRADE UNLEADED Active, billable DOUBLE WALLED Continuous Interstitial Monitoring <br />2300 7 390002313200505585 PT0008152 10,058 PREMIUM UNLEADED Active, billable DOUBLE WALLED Continuous Interstitial Monitoring <br />BOE_ ID# 44-042046 <br />Llndengound Storage Tank 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 these Permit Conditions. <br />2) In order to maintain the operating pemtit, 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 <br />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 Permittee shall ensure that both <br />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 Department (EHD) and are considererd UST Permit Conditions. The approved <br />monitoring, response, and plot plans shall be maintained onsite with the permit. <br />5) The Pennittee shall comply with the monitoring procedures referenced in this permit. <br />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 <br />provide documentation of.such servicing to this office. <br />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. <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 from the date the monitoring was <br />performed. <br />9) The EHI? 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 review, modification or <br />revocation. <br />11) Construction, repair and/or removal pennits are required from the EHD prior to any change, repair or removal of UST system equipment. <br />12) The Pennittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the date of the issuance 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: USA PETROLEUM CO <br />Tank Owner: USA PETROLEUM CORP <br />THIS FORM MIST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: USA GASOLINE #3502 Facility ID FA0003602 <br />35 N CHEROKEE LN Account ID AR0003180 <br />LODI, CA 95240 issued 2/10/2005 <br />Billing Address: <br />USA PETROLEUM CO <br />905 RANCHO CONEJO BLVD <br />NEWBURY PARK, CA 91320-1716 <br />7023.rpt <br />