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SAN JOWIN COUNTY PUBLIC HEALTH OVICES <br /> 304 E.WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 • PHONE(209)468-3420 <br /> KAREN FURSr 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 /> Pmgmm Permit Permit <br /> Record E) Number Program Code and Description Valid <br /> PRD513780 PT0009975 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/01 To 12/31/01 <br /> Hazardous Waste Generator Program: <br /> California Health and Safety Code Div.20,Chap.6.5,Art.2-13 Sec.25100 et seq,and Title 22 California Code of Regulations_Chap.20_____________ <br /> PR0231631 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/01 To 12/31/01 <br /> Underaround Storage Tank Program: <br /> Calif_omia Hea_lt_h_and Safety Code Div,20,Chap,6.7 and Title 23 California Code of Regula8ons Chap_16_ _______________ ________________ <br /> PIE Tank# Tank Record ID Permit# Capacity Contents Permit Status <br /> 2360 6 390002316310163106 PT0004143 8,000 UNLEADED Active <br /> 2360 5 390002316310163105 PT0004142 10,000 UNLEADED Active <br /> 2362 4 390002316310163104 PT0004141 12,000 UNLEADED Active <br /> Underground Storage Tank Per 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 <br /> Conditions. <br /> 2) In order b 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 <br /> any conditions 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 <br /> ensure that 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 bythe Environmental Health Division(PHS/EHD)andare considaerd USTPermit <br /> Conditions. Copies of the Procedures and Emergency Response Plan must be attached to this permit or be available for review and/or inspection at the USF site. <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 <br /> mmu facturer,and provide documentation of such servicing to this office <br /> 7) In the event of a spill,leak,or other unauthorized release,the Permitee shah comply with the requirements of Tile 23 CCR,Chap.16,Art.5,and the approved Emergency <br /> Response Plan. <br /> g) Writen records of all monitoring performed shall be maintained onsite by the operator and be available for inspection for a period of at least three yeas from the date the <br /> monitoring 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 USC system(including change in tank contents or usage),the Permit to Operate will be subject to review, <br /> modification or 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 Pamittee shall submit an annual report documenting compliance with the USC Permit Conditions within 30 days of the anniversary date of the issuance ofthis 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: TIME OIL CO <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: JACKPOT FOOD MART' Facility ID FA0000091 <br /> Account ID AR0000090 <br /> F-- <br /> 14000 E HWY 88 <br /> LOCKEFORD. CA 95237 Issued 312912001 <br /> Billing Address: <br /> JACKPOT FOOD MART` <br /> PO BOX 24447 TERMINAL ST <br /> SEATTLE, WA 98124-2447 <br /> 7023.rpt <br />