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SAN JOAQUWOUNTY ENVIRONMENTAL HEALTSEPARTMENT 304 E.Weber Ave.,Third Floor•Stodtaon,CA 95202-2708• Phone(209)468-3420 Donna Heran,R.E.H.S.,Director ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Program Permit Permit Record ID Number Program Code end Description Valid PRO513780 PT0009976 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2006 To 12/31/2006 Hazardous Waste Generator Program: 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, Sec.25100 et seq,_and Title 22,California Code of Regulations_Chap.20, _ _ _ _ ----- --------- '---- --------- -------- --- - ----------------------------------------- ----- --------- -------- -------- -------- PR0231631 2300--UNDERGROUND STORAGE TANK FACILITY 1/1/2006 To 12131/2006 Underground Storage Tank Program: California.Health and Safety Code, Div.20,Chap,6.7-and-Title 23,California-Code-of-Regulations,Chap, 16. P/E Tank# Tank Record ID Permit# Capacity .Contents Permit Status System Type Leak Detection 2362 4 " 390002316310163104 PT0004141 12,000 REGULAR UNLEADED -Active,billable DOUBLE WALLED Continuous Interstitial Monitoring 2360 5 390002316310163105 PT0004142 10,000 MIDGRADE UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring 2360 6 390002316310163106 PT0004143 8,000 PREMIUM UNLEADED Active,billable - DOUBLE WALLED Continuous Interstitial Monitoring Underground Storage Tank Permit Conditions 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. 2) in order to maintain the operating return,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 San Joaquin County. - 3) If the Tank Opermor(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 tank Operator receive a copy of the permit. 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Department TM)and are considererd UST Permit Conditions. The approved monitoring,response,and plot plans shall be maintained onsite with the permit. 5). The Permittee shall comply with the monitoring procedures referenced in this permit. 6) -The Permittee shall perform testing andpreventive maintenance on all leak detection monitoring equipment annually,or more frequently if specified by the equipment manufacturer,and provide documentation of such servicing to this office. 7) In die event of a spill,leak,or.other unauthorized release,.the Permitee shall comply withthe requirements of Tide 23 CCR,Chap. 16,Art.5;and the approved Emergency Response Plan. '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 9) The EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change. 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. 11) Construction;repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment. 12) The Pwinitteeshall submit an awma(repor documenting compliance with the UST Permit Conditions within 30 days of the date of the issuance of this permit. 13) ' This Permit to Operate shall not be considered permission in violate any laws,ordinances or statutes of any other Federal,State or Local agency. 14) A"Conditional"Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated. PERMITS TO OPERATE are NOT TRANSFERABLE and may be SUSPENDED or REVOKED for cause. PERMIT(s)Valid only for: TIME OIL CO - THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES Regulated Facility: JACKPOT FOOD MART* Facility ID FA0000091 14000 E HWY 88 Account ID AR0000090 LOCKEFORD CA 95237 Issued 2/3/2006 Billing Address: ATTN : TIME OIL CO. JACKPOT FOOD MART* - POBOX 24447. SEATTLE WA 98124-0447 7023.ga