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SAN JOAQUPI COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E. Hazelton Ave. • Stockton, CA 95205-6232 • 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 and Description Valid PRO518528 PT001208 �2OALL-QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2013 To 127311201Hazardous Waste Gener oIn order to maintain the perm , Hazardous Waste Generators shall comply with California Health and Safety Code,Div.20,Chap.6.5,Art.2-13, Sec.25100 et see,and Title 22, California Code of Regulations,Chap.20. - -- -- ------- -----.._ - --------------- -------- .------ ------------------------------------------__-__-- ...... -------------------------------------------------------------------- PR0231464 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2013 To 12/31/2013 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# Tan/:Record ID Permit# Capacity Contents Permit Status System Type Leak Detection 2362 5 390002314640146405 PT0004276 10,000 REGULAR UNLEADED Active,billable DOUBLE-WALL Continuous Interstitial Monitoring 2360 6 390002314640146406 PT0004277 10,000 PREMIUM UNLEADED Active,billable DOUBLE-WALL Continuous Interstitial Monitoring 2360 7 390002314640146407 PT0004278 8,000 DIESEL Active,billable DOUBLE-WALL Continuous Interstitial Monitoring BOE ID#: 44045561 Underground Storage Tank Permit Conditions I) 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. 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 eslablished by San loaquin County. 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 Pennittee shall ensure that both the Tank Owner and lank Operator receive a copy of the peri-nil. q) 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 monitoring,response,and plot plans shall be maintained onsite with the permit. 5) The Pennitlee shall comply with the monitoring procedures referenced in this permit. 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 provide documentation of such servicing to this office. 7) In the event of a spill,leak,or other unauthorized release,the Pennitee shall comply with the requirements of Title 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) Constriction,repair and/or removal pennits are required from the EHD prior to any change,repair or removal of UST system equipment. 12) This Permit to Operate shall not be considered permission to violate any laws,ordinances or statutes of any other Federal,State or Local agency. 1 3) A"Conditional'Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated. — -- --- - --------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------- PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause. PERMIT(s) Valid only for: CALIFORNIA GAS STATION LLC Tank Owner: ROSHAN MINHAS THIS FORNI MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES TIGER EXPRESS STORES Facility lD FA0000914 Regulated Facility: 1399 E YOSEMITE AVE Account to AR0000911 MANTECA CA 95336 Issued 2/19/2013 Billing Address: ATTN : CALIFORNIA GAS STATION LLC TIGER EXPRESS STORES 1399 E YOSEMITE AVE MANTECA CA 95336 7023.rpt