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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.Weber Ave.,Third Floor•Stockton,CA 95202-2708 • Phone(209) 468-3420 <br /> Donna Heran,RE.H.S., Director <br /> SAN JDA�T�L TIFIED`III�TfI� ANMA1VI—A�ENCY <br /> PERMIT TO OPERATE <br /> Program Permit Permit <br /> Record ID Number Program Code and Description Valid <br /> PRO518505 PT0012062 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2005 To 12/31/2005 <br /> Hazardous Waste Generator Program: <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,CaliforniaCodeof Regulations,Chap.20_ <br /> ----- - ------------ ----------------------------- ------- - - ---------------------------------------------- ---- -------- - ---------- <br /> PR0516526 2300-UNDEROROUND STORAGE TANK FACILITY 1/1/2005 To 12/31/2005 <br /> UnEteryround Storage Tank Program: <br /> California-l=lealtlrand Safety Code, Div.20,Chap.6.7 and Title 23,California Code of Regulations,Chap,_16.............................................................. <br /> --------- --- - <br /> ---------- ---- ------------ - - - <br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection <br /> 2362 1 390005165260515545 PT0011332 20,000 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 /> 2360 3 390005165260515547 PT0011334 12,000 REGULAR UNLEADED Active, billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> 2360 4 390005165260515548 PT0011335 20,000 DIESEL Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> 2360 5 390005165260515549 PT0011336 20,000 DIESEL Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> BOE ID#:"44-040782: <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 Pemmittee 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 ofsuch 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) The Pennittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the date of the issuance of this pennit. <br /> 13) This Permit to Operate shall not be considered permission to violate any laws,ordinances or statutes of army other Federal,State or Local agency. <br /> 14) A"Conditional'Permit may be revoked ifcorrections 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: 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 Facility: LOVES COUNTRY STORE Facility lD FA0012659 <br /> 1553 COLONY RD Account ID AR0020960 <br /> RIPON, CA 95366 Issued 2/10/2005 <br /> Billing Address: <br /> LOVES COUNTRY STORE <br /> PO BOX 26210 <br /> OKLAHOMA CITY, OK 73126 <br /> 7023.rpt <br />