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k 'A " SAN JO N COUNTY PUBLIC HEALTH ICES 304 E. WEBER AVE., .HIRD FLOOR • STOCKTON,CA 95202 Ptj (209) 468-3420 KAREN FURST, M.D., M.P.H., HEALTH OFFICER DONNA RERAN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION � h ENVIRONMENTAL HEALTH a SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY ' PERMIT TO OPERATE rogram permit Permit Record ID Number Program Code and Description Valid PR023142 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/00 To 12/31/00 Underground Storage Tank Program: California Health and Safety Code Div.20,Chap.6.7 and Title 23 California Code of Regulations Chap. 16. an arK KecoraPermit apace y on ens rcinlititatus System em ypeea a cc ton . ." 2:3bU 16 390002314260501928 PT0009402 6,000 PREMIUM UNLEADED Active 2360 15 390002314260507927 PT0009401 9,000 DIESEL Active DOUBLE WALLED INTERSTITAL MONITOR 3' 2360 14 390002314260507926 PT0009400 6,000 REGULAR UNLEADED Active DOUBLE WALLED INTERSTITAL MONITOR 2360 13 390002314260507925 PT0009399 12,000 REGULAR UNLEADED Active DOUBLE WALLED INTERSTITAL MONITOR 2360 12 390002314260507924 PT0009398 1,500 OTHER Active DOUBLE WALLED INTERSTITAL MONITOR 2360 11 390002314260507923 PT0009397 1,500 OTHER Active DOUBLE WALLED INTERSTITAL MONITOR Underground Storage Tank Permit Conditions i) 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 operatingpermit,the pemrit 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 any conditions established by San Joaquin County. 3) ifthe Tank Operator(s)is different from the Tank Owner,or if the Pennit 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. 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Division(PHS/EHD)and arc considererd UST Pennit Conditions. Copies of the Procedures and Emergency Response flan must be attached to this permit or be available for review and/or inspection eh UST site shall comply with the monitoring procedures referrcnced in this permit. s 6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently ifspecified by the "Y fir equipment manufacturer,and provide documentation of such servicing to this office. 7) in the event of a spill,leak,or other unauthorized release,the Perm itee shall comply with the requirements of Title 23 CCR,Chap. 16,Art.5,and the approved Emergency Response Plan. i,'a 8) Written records ofall monitoring performed shall be maintained on-site by the operator and be available for inspection for a period of at(cast three years from the date the monitoring was performed. k : . 9) The PHS/EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change. f; 10) Upon any change in equipment,design or operation of the UST system(including change in tank contents or usage),the Pennit to Operate will be subject to + r review,modification or revocation. 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. " 12) The Permittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the anniversary date ofthe issuance of this permit. 13) This Pennit to Operate shall not be considered permission to violate any laws,ordinances or statutes of any other Federal,State or Local agency. x ° 14) A"Conditional"Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated. = a Y PERMITS TO OPERATE are NOT TRANSFERABLE and may be SUSPENDED or REVOKED for cause. PERMIT(s)Valid only for: KIM, IN SOP & MYOUNG OK Tank Owner: FRANK GUINTA JR THIS FORM MUST"BE DISPLAYED CONSPICUOUSLY ON THE PREMISES � w Facility ID FA0004625 Regulated Facility: FRANKS ONE/STOP FOOD MART y 2072 W YOSEMITE AVE Account ID AR0004954 MANTECA, CA 95337 Issued 10/11/2000 All Billing Address: ATTN : IN SOP KIM ,; FRANKS ONE/STOP FOOD MART °£I 2072 W YOSEMITE I° MANTECA, CA 95337 7023.rpt7a