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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br />304 E. Weber Avc., 'I'bird Floor • Stockton, CA 95202-2708 • 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 Program Code and Description Valid
<br />PR0518505 . PT0012062 2220 - SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2004 To 12/31/2004
<br />Hazardous Waste -Generator Proaram;
<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 seq. and Title 22, California Code of Regulations, Chap. 20_
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<br />PR0516526 2300 - UNDERGROUND STORAGE TANK FACILITY 1/1/2004 To 12/31/2004
<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
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<br />2360 5 390005165260515549 PT0011336 20,000 DIESEL Active, billable DOUBLE WALLED Continuous Interstitial Monitoring
<br />2360 4 390005165260515548 PT0011335 20,000 DIESEL Active, billable DOUBLE WALLED Continuous Interstitial Monitoring
<br />2360 3 ' 390005165260515547 PT0011334 12,000 REGULAR UNLEADED Active, billable DOUBLE WALLED Continuous Interstitial Monitoring
<br />2360 2 390005165260515546 PT0011333 8,000 REGULAR UNLEADED Active, billable DOUBLE WALLED Continuous Interstitial Monitoring
<br />2362 1 390005165260515545 PT0011332 20,000 REGULAR UNLEADED Active, billable DOUBLE WALLED 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
<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 lank, 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 [Iris 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 />11) I,UIC;lARin, repair and/or removal permits are required from the 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 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 />FERMI I ks) vana only Tor: LOVES COUNTRY STORES OF CA
<br />DBA: LOVE'S COUNTRY STORES OF CALIF
<br />Tank Owner: LOVES COUNTRY STORE
<br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br />Regulated f=acility: LOVES COUNTRY STORE Facility ID FA0012659
<br />1553 COLONY RD Account ID AR0020960
<br />RIPON, CA 95366 Issued 4/1/2004
<br />Billing Address:
<br />LOVES COUNTRY STORE
<br />PO BOX 26210
<br />OKLAHOMA CITY, OK 73126
<br />7023. rpt
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