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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> 304 E. WEBER AVE.,THIRD FLOOR - STOCKTON,CA 95202 - PHONE (209)468-3420 <br /> KAREN FURSI, M.D., M.P.H., HEALTH OFFICER <br /> DONNA HERAN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> N3X1A9T VIENTttAL HEALTH <br /> SAN AQUIN T ERTIFIED NIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE. <br /> Program Permit Permit <br /> Record ID Number Program Code and Description <br /> Valid <br /> PRO51788 PT0011759 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 12/4101 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 at see,and Title 22 California Code of Regulations,Chap.20. _ __ <br /> -- - - - - -- - -- - - - - - - - - - - - - - --- - - - - - - - - - -------- ---- -- - - - - - - . . . <br /> PR023238 2300-UNDERGROUND STORAGE TANK FACILITY 1214101 To 12/31/01 <br /> Underground Storage Tank Program: <br /> California Health and Safety Code Div.20,Chap.6.7 and Title 23 California Code of Regulations Chap. 16_ <br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status <br /> 2360 3 390002323880238803 PT0003731 12,000 UNLEADED Active,billable <br /> 2360 2 390002323880238802 PT0003730 12,000 UNLEADED Active,billable <br /> 2362 1 390002323880238801 PT0003729 12,000 UNLEADED Active,billable <br /> Underground Storage Tank Permit Conditions <br /> I) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid and/or the UST syslem(s)fails to remain in compliance with these Permit Conditions. <br /> 2) In order to 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 any <br /> conditions established by San Joaquin County. <br /> 3) If the Tank Operator(s)is different from the Tank Owner,or if Permit to Operate is issued to a person other than the owner or operator of the lank,the Permittee shall ensure that <br /> both the Tank Owner and tank Operator receive a copy of the permit. <br /> 4) Wrium Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Division(PHS/EHD)and are considererd UST Permit Conditions. <br /> Copies of the Procedures and Emergency Response Plan most be attached to this permit or be available for review and/or inspection at the UST site. <br /> 5) The Permittee shall comply with the monitoring procedures mferrenced in this permit. <br /> 6) The Peroitme shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently if specified by the equipment manufacturer, <br /> and provide documentation ofsuch servicing to this office. <br /> 7) In the event of a spill,leak,or other unauthorized release,the Pemtitee shall comply with the requirements of Title 23 CCR,Chap.16,Art.5,and the approved Emergency Response <br /> Plan. <br /> 8) Written records of all monitoring performed shall be maintained on-rile by the operator and be available for inspection for a period of at least three years from the date the monitoring <br /> 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 UST system(including change in tank contents or usage),the Permit to Operate will be subject to review,modification or <br /> revocation. <br /> I l) 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 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,Slate 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: WIGHT ENTERPRISES 2 LLC <br /> DBA: AM/PM MINI MARKET <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: AM PM #82308" Facility ID FA0003607 <br /> 18806 N LOWER SACRAMENTO RD Account ID AR0003185 <br /> WOODBRIDGE. CA 95258 Issued 12/12/2001 <br /> Billing Address: ATTN : WIGHT ENTERPRISES 2 LLC <br /> AM PM#82308' <br /> 18806 N LOWER SACRAMENTO RD <br /> WOODBRIDGE, CA 95258 <br /> 7W3.rpt <br />