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SAN JOAQUIN, Environmental Health Department Q tJ N —r Jasjit Kang, REHS, Director SAN JOAQ U N COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE This permit is valid for Permit Status identified as "IN COMPLIANCE" Pro-rram R.:.ord ID Prok7am Cock turd LWnption PR0231223 2300-UNDERGROUND STORAGE TANK FACILITY Underground Storage Tank Proaram: California Health and Safety Code,Div.20,Chap.6.7 and Title 23,CaVomia Code of Regulations,Chap.16. -------- ----I------- -- . ---------- ...........--.- .-- ...... .-.................................. PiE Tank k CERS Tank ID Permit# Capacily Conttatts Permit Stww System Type Leak Detection Permit Valid 2360 4 10180905-001 PT0006661 12;000 REGULAR UNLEADED IN COMPLIANCE DOUBLE-WALL unfrisous manihiong 311912021 To 12/31/2021 2360 5 10160905-002 PT0006664 12,000 PREMIUM UNLEADED IN COMPLIANCE DOUIKE-WALL Conttnueus Mwihning 3/19/2021 To 1213112021 2360 6 10180905-003 PT0006665 12,000 DIESEL IN COMPLIANCE POLIOLE-WALL Ccntincotls Mcnitaring 311912021 To 12131/2021 QM.TFA.(60€)ID* 44052054'=— Underground Storage Tank Permit Conditions l) The Perm to Opmo willbecome void mf Annual Ptmtit Fits ao d Service Fees are not paid andhr the UST systein(s)fails to mnain in complmnce uith these permit Conditions -) In order to maintain the operating penni�the owner and operator shall comply with the HAtS Cade-Div 24.Chap 6.7 and 6.75:and CCR-Tile 23.Chap 16 and 19,cos well as any conditions established by San Jwgwn Counrr. 3) Ifthe Tank Optxator(s)is different Error the Tank Owner,or it @m Permit to O;tmrc is issued to a person other than the owner or operator of the!teak-Eric Permitter shall crisitre thin both the Tank Owner and tank Opermor recelive a copy of the permit. 4) Written Slunituring Pracedures wad an Flamergeewy Response plan must be approved by the Eri iramnental Health t7epattrncm{F1f131end are comsidarerd UST Permit Conduiom. The npproved monitoring,mespans�-and plot plans s be maintaii ed oroite with time permit 5) -tic Penuinw shall comply with the moviioring prncedwes referenced in this permit. 6) The Permittee sha0 pericirrn tminp-an�pmventive memmmiince an all leak dctetnan monitoring e(luiptnent annually,or morefrequently if specified by the eennpmenr rnan4ic:r r.and provide doenmernnnon of such srrvic to this orrice. 7) In the event.ofa spill,leak,or nd aat�uihorized release,the Permiiee shall cempiv with the rcgnttementsof Title Z?CCR Chap.14,art 5,art the aptirmod Emergency Response Pian. B) Written reeords oFal1 momtoring Perioimad"I be maintained on-site by the operetor and be availabltr for ihsliccuou for a period of at least dime years from the dare the monitoring was perfwme'i. 9) The EHD shall be notified of any change in ownership or operation of the UST system within 30 days of sti h change 10) Upon any change in cqurpmaiL designor opemLon of the UST system(including chance in tank contents or usage),the Permit to Operate will be su6ltct to review,modification or revocetroa I 11) Constfwfinn;repair andfor memo al pert)mits are required from Jit Fon)prior to any thange,repair et nemuval ofLST system cquipnrtni. 12) Tttis Permit to Operate shall not he coresmdered permission to utolate any laws,ordtanives or statutes of any other Federal,Stare tr total agency 13) A`Con toted`Permit may be revolted if eonvatorm spe cificd on the tmpcGmon report We not completed by the dear`s! ridieatee ...... e-x - — - PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause. PERMIT(s)Valid only for; ALZGHOUL. MOHAMMAD DBA: PACIFIC SERVICE STATION Tank Owner. ALZGHOUL FAMILY TRUST CERSID 10180905 Regulated Facility. PACIFIC SERVICE STATION Facility iD FA0002324 6131 PACIFIC AVE AC—M ID AR0003361 STOCKTON CA 95207 issued 419/2021 Billing Address.- AI:ZGHQ,' r M0HAMN1AD PaCIFTC SERVICE STATION ,5i0 MY LE AVE # 209 SOUTH S�N FRANCISCO CA 94080 7124.rpt 1868 E. Haaetton Avenue j Stockton, Caiffomia 95205 1 T 209-468-3420 1 F 209464-0138 1 www.sigov.org/EHD