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0 <br />SAN JOAQUIN COUNTY PUBLIC HEALTH ORVICES <br />304 E. WEBER AVE., THIRD FLOOR • STOCKTON, CA 95202 • PHONE (209) 468-3420 <br />KAREN FURST, M.D., M.P.H., HEALTH OFFICER <br />DONNA HERAN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br />ENVIRONMENTAL HEALTH <br />SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br />PERMIT TO OPERATE <br />PermitProgram Permit Program Code and Description <br />Record ID Number Valid <br />PR0231382 2300 - UNDERGROUND STORAGE TANK FACILITY 1/1/01 To 12/31/01 <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 />_. - - - - - - - - ' - ' - - - ' - - ' - ' - - - - - - ' „- o._..._ c.,,..e... ^r.,..o - - ' ' ' - -T Pak tletertinn <br />2360 7 390002313820506604 PT0008957 5,000 UItStL Hcmve DOUBLE WALLED <br />.. N ER <br />2360 6 390002313820506603 PT0008956 5,000 PREMIUM UNLEADED Active DOUBLE WALLED INTERSTITAL MONITOR <br />2362 5 390002313820506602 PT0008955 10,000 REGULAR UNLEADED Active DOUBLE WALLED INTERSTITAL MONITOR <br />Underground 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 <br />Conditions. <br />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 <br />anyconditions established bySan 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 <br />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/EHD) and are considererd UST Permit <br />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. <br />5) The Permittee shall comply with the monitoring procedures referrenced 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 <br />manufacturer, and provide documentation ofsuch 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 <br />Response Plan. <br />8) Written records of all monitoring performed shall be maintained on-site by the operatorand be available for inspection fora period of at least three years from the date the <br />monitoring was performed. <br />9) The PHS/EHD 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 ofthe U ST system (including change in tank contents or usage), the Permit to Operate will be subject to review, <br />modification or revocation. <br />11) Construction, repair and/or removal permits are required from the PHS/EHD prior to any change, repair or removal of UST system equipment. <br />12) The Permittee shall submit an annual report documenting compliance with the USI' Permit Conditions within 30 days of the anniversary 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: MCCARTY BROS <br />DBA: PLAZA LIQUORS #2 <br />Tank Owner: McCARTY, ROBERT <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: PLAZA LIQUORS #2* Facility ID FA0004139 <br />2420 W TURNER RD Account ID AR0003805 <br />LODI. CA 95240 Issued 3/29/2001 <br />Billing Address: ATTN : ROBERT MCCARTY <br />PLAZA LIQUORS #2* <br />2420 W TURNER RD <br />LODI, CA 95240 6 0 <br />7023. rpt <br />