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SAN J(*UIN COUNTY PUBLIC HEALTH VICES <br />304 E. WEBER AVE., THIRD FLOOR • STOCKTON, CA 95202 ONE (209) 468-3420 <br />KAREN FURST, M.D., M.P.H., HEALTH OFFICER <br />DONNA HERRN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br />ENVIRONMENTAL HEALTH <br />SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br />PERMIT TO OPERATE <br />Permit <br />rogram ermrt Program Code and Description Valid <br />Record ID Number g p <br />7R023138 2300 - UNDERGROUND STORAGE TANK FACILITY 111100 To 12/31/00 <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 />------- - - - - -- <br />-- - - - - - - - - - - - - - - - - ea <br />,... P., ermi MATIN us vs em vt)e ea a eC l <br />2360 7 6V000Z31 3t)Z000OOU4 r l uuuoui t ,,,- -'---- DOUBLE WALLED INTERSTITAL MONITOR <br />2360 6 390002313820506603 PT0008956 5,000 PREMIUM UNLEADED Active DOUBLE WALLED INTERSTITAL MONITOR <br />2360 5 390002313820506602 PT0008955 10,000 REGULAR UNLEADED Active <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 <br />these Permit 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 <br />18, as well as any conditions 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 <br />Permittee shall 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 <br />UST Penn it Conditions. Copies of the Procedures and Emergency Response Plan must be attached to this permit or be available for review and/or inspection <br />th UST site 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 <br />equipment manufacturer, and 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 <br />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 <br />from the date the 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 of the UST system (including change in tank contents or usage), the Permit to Operate will be subject to <br />review, modification or revocation. <br />1 1) 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 UST Permit Conditions within 30 days of the anniversary date of the issuance <br />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 9/29/2000 <br />Billing Address: ATTN : ROBERT MCCARTY <br />PLAZA LIQUORS #2* <br />2420 W TURNER RD <br />LODI, CA 95240 <br />7023.rpt 0 0` <br />