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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 304 E.Weber Ave.,Third Floor• Stodcton,CA 95202-2708• Phone(209)468-3420
<br /> Donna Henn,REH.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 /> PRO518926 PT0012258 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 11112003 To 1 213112 0 0 3
<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,CaliforniaCode of Regulations,Chap_20_ _
<br /> . - ------- .......... . _
<br /> PR0231342 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2003 To 12/3112003
<br /> Underground Storage Tank Program:
<br /> California Health and Safely Code,Div.20,Chap..6.7 and Title 23,California Code of Regulations.Chap_16.
<br /> PIE Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2360 6 3900023134205078101 PT0009313 10,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoung
<br /> 2360 5 390002313420507803 PT0009312 10,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2362 4 390002313420507802 PT0009311 20,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> BOE`ID#�44024fi56'�!;;%+Si
<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 pemdL 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 condiooms
<br /> established by San Joaquin County.
<br /> 3) If the Tank Operator(s)is di Rerent 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 lank Operator receive a copy of the permit.
<br /> 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Envimnrnimul Health Department(EUD)and are considererd UST Pettit 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 Permiuec 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 Permimc shall comply with the requirements of Title 23 CCR Chap.16,Art.5,and the approved Emergency Response Plan.
<br /> 8) Written records ofall 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 mulled 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 lank contents or usage),the Permit to Operate will be subject to review,modification or
<br /> 11) Mffo&glbn,repair and/or removal permits am 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 anniversary 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,Stale or Local agency.
<br /> 14) A"Conditional"Permit maybe revoked if corrections specified on the inspection report arc 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: GRAFFIGNA, PETE& BILL
<br /> DBA: FLAME LIQUORS INC
<br /> Tank Owner: GRAFFIGNA& GRAFFIGNA
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Faciliy. FLAME MINI MART FacilitylD FA0000392
<br /> 1301 W KETTLEMAN LN Account ID AR0000391
<br /> LODI, CA 95242 Is'Ued 51112003
<br /> Billing Address:
<br /> FLAME MINI MART
<br /> 1301 W KETTLEMAN LN
<br /> LOD,I, CA 95242
<br /> 7023.rpt
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