SAN JOAQUn COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br />1868 E. Hazelton Ave. • Stockton, CA 95205-6232 • Phone (209) 468-3420
<br />Donna Heran, R.E.H.S., Director
<br />ENVIRONMENTAL HEALTH
<br />SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br />PERMIT TO OPERATE
<br />Program Permit
<br />Permit
<br />Record ID Number - Program Code and Description
<br />Valid
<br />PR0518505 PT0012062 2227 -HAZARDOUS WASTE GENERATOR FACILITY
<br />1/1/2012 To 12/31/2012
<br />WzUrddmWaste Generator Pro ram:
<br />In order to maintain the permit to operate, Hazardous Waste Generators shall comply with California Health and Safety Code, Div. 20, Chap.
<br />6.5, Art. 2-13, Sec. 25100 et
<br />seq, and Title 22, California Code of Regulations, Chap. 20.
<br />PROSISS26 2300 - UNDERGROUND STORAGE TANK FACILITY
<br />1/1/2012 To 12/31/2012
<br />Underground Storage Tank Proaram:
<br />California Health and Safety Code, Div. 20, Chap. 6.7 and Title 23, California Code of Regulations, Chap, 16.
<br />P/E Tank # Tank Record ID Permit # Capacity Contents
<br />Permit Status
<br />System Type
<br />Leak Detection
<br />2360 2 390005165260515546 PT0011333 8,000 PREMIUM UNLEADED
<br />Active, billable
<br />DOUBLE WALLED
<br />Continuous Interstitial Monitoring
<br />2360 3 390005165260515547 PT0011334 12,000 REGULAR UNLEADED
<br />Active, billable
<br />DOUBLE WALLED
<br />Continuous Interstitial Monitoring
<br />2360 4 390005165260515548 PT0011335 20,000 DIESEL
<br />Active, billable
<br />DOUBLE WALLED
<br />Continuous Interstitial Monitoring
<br />2360 5 390005165260515549 PT0011336 20,000 DIESEL
<br />Active, billable
<br />DOUBLE WALLED
<br />Continuous Interstitial Monitoring
<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 owner and operator 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
<br />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 Permittee shall ensure that both the Tank Owner and
<br />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 Department (EHD) and are considererd UST Permit Conditions. The approved monitoring,
<br />response, and plot plans shall be maintained onsite with the permit.
<br />5) The Permittee shall comply with the monitoring procedures referenced 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, and provide documentation
<br />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 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 from the date the monitoring was performed.
<br />9) The 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 revocation.
<br />11) Construction, repair and/or removal permits are required from the EHD prior to any change, repair or removal of UST system equipment.
<br />12) 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 />13) A "Conditional" Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated.
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<br />DUPLICATE —
<br />DUPLICATE
<br />PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause.
<br />PERMIT(s) Valid only for: LOVES COUNTRY STORES OF CA
<br />DBA: LOVE'S COUNTRY STORES OF CALIF
<br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br />LOVE'S COUNTRY STORES OF CALIF #223 Facility ID FA0012659
<br />Regulated Facility:
<br />1553 COLONY RD AccountlD AR0020960
<br />RIPON CA 95366 Issued 811312012
<br />Billing Address: ATTN : NICKELL, KEVIN
<br />LOVE'S COUNTRY STORES OF CALIF #223
<br />PO BOX 26210
<br />OKLAHOMA CITY OK 73126
<br />7023.rpt
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