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SAN JOAQUIN 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 Permit <br />Record ID Number�muf� Code and Description Valid <br />PRO518505 PT001 <br />RDOUS WASTE GENERATOR FACILITY <br />1/1/2013 To 12/31/2013 <br />In order to maintain the permit to operate, Hazardous Waste Generators shall comply with California Health and Safety Code, Div. 20, Chap. 6.5, Art. 2-13, <br />Sec. 25100 et secl, and Title 22, California Code of Regulations, Chap. 20_ <br />-- - - - -- - ----- -- ---- ----------------------=------------- ------ ----------- <br />PR0516526 2300 - UNDERGROUND STORAGE TANK FACILITY 1/1/2013 To 12/31/2013 <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 />P/E Tank # Tank Record D Permit # Capacity Contents Permit Status System Type Leak Detection <br />2362 1 390005165260515545 PT0011332 20,000 REGULAR UNLEADED Active, billable DOUBLE-WALL Continuous Interstitial Monitoring <br />2360 2 390005165260515546 PT0011333 8,000 PREMIUM UNLEADED Active, billable DOUBLE-WALL Continuous Interstitial Monitoring <br />2360 3 390005165260515547 PT0011334 12,000 REGULAR UNLEADED Active, billable DOUBLE-WALL Continuous Interstitial Monitoring <br />2360 4 390005165260515548 PT0011335 20,000 DIESEL Active, billable DOUBLE-WALL Continuous interstitial Monitoring <br />2360 5 390005165260515549 PT0011336 20,000 DIESEL Active, billable DOUBLE-WALL Continuous Interstitial Monitoring <br />130E ID* 44040782 <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 <br />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 Permittee shall ensure that both <br />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 Department (EHD) and are considererd UST Permit Conditions. The approved <br />monitoring, 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 <br />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 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 <br />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 <br />revocation. <br />1 1) 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 dates) indicated. <br />-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- <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 Account ID AR0020960 <br />RIPON CA 95366 Issued 2/19/2013 <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 <br />