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SAN JOAQW COUNTY PUBLIC HEALTH SE CES <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 />Program Permit Permit <br />Record ID Program Code and Description Valid <br />PR050438 DERGROUND STORAGE TANK FACILITY 3/28/01 To 12/31/01 <br />Underground Storage Tank Proara <br />California Health and Safety Code Div. 20, Chap_ 6.7 and Title 23 California Code of Regulations Chap. 16. <br />------------------ --------- ----------------------------------------------------------------- <br />P/E Tank # - Tank Record ID Permit # Capacity Contents Permit Status System Type <br />2360 5 390005043880505633 PT0008191 8,000 UNLEADED Active DOUBLE WALLED <br />2362 4 390005043880505632 PT0008190 12,000 UNLEADED Active DOUBLE WALLED <br />801811J* 44=0612$5 _ <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 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 any <br />conditions established by San Joaquin County. <br />3) If the Tank Operater(s) is different from the Tank Owner, or i f the Permit to Operate is issued to a person other than the owner or operator of the tank, the Permittee shall ensure that <br />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/EUD) and are considererd UST Permit Conditions. <br />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 manufacturer, <br />and provide documentation of such servicing to this office. <br />7) In the event ofa 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 <br />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 <br />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 review, modification or <br />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 UST 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: DHILLON ENTERPRISES INC <br />DBA: E -Z STOP MINI MART <br />Tank Owner: E Z STOP MINI MART <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility. %J P MINI MART <br />STOCKTON. CA 952 <br />Billing Address: ATTN : DHILLON, JOGGY <br />E -Z STOP MINI MART <br />1605 S EL DORADO ST <br />STOCKTON, CA 95206 <br />7023.rpt 0 0 <br />Facility to FA0006185 <br />Account ID AR0007277 <br />Issued 4/18/2001 <br />