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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 Herm,R.HH.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Program Permit Permit <br /> Pro <br /> Prord D Number Program Code and Description Valid <br /> RecPR051428 PT0010486 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2002 To 12/31/2002 <br /> Hazardous Waste Generator Program: <br /> California Health and Sa_fety Code Div_20,Chap_6.5,Art.2.13 Sec_25100 et seg,and Title 22 California Code of Regulations,Chap_20. _.______________ <br /> PR023146 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2002 To 12/31/2002 <br /> Underground Storage Tank Program: <br /> California Health and Safety Code Div.20,Chap.6.7 and Title 23 California -_Code of Regulations Chap ---- ------ --------------------------_-_-----_ <br /> SSSS lt Safe — Div. - - - - - <br /> WE Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection <br /> 2360 6 390002314650146506 PT0004485 8,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial <br /> Monitoring <br /> 2360 5 390002314650146505 PT0004483 10,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED CanGnuous Interstitial <br /> Monitoring <br /> nce <br /> 2362 4 390002314650146504 PT0004473 12,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial <br /> Monitoring <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 penmt,the owner and operator shall comply with the H&S Code,Div.20,Chap.6.7 and 6.75;and CCR,Tide 23,Chap.16 and 18,as well as any <br /> conditions established by San Joaquin County. <br /> 3) If the Tank Operatm(s)is different from the Tank Owner,or if the Permit in Operate is issued to a person other than the owner or operator of the tank,the Permittee shall ensure that <br /> both 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 Perni t Conditions. The <br /> approved monitoring,response,and plot plans shall be maintained onsite with the peanut <br /> 5) The Permittee shall comply with the monitoring procedures referenced in this pemut <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, <br /> and provide documentation of such 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 <br /> 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 <br /> was 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 /> I l) Construction,repair and/or removal permits are required from the EFD 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,State 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: TIME OIL CO <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: JACKPOT FOOD MART' Facility ID FA0003739 <br /> 1434 W YOSEMITE AVE Account ID AR0008444 <br /> MANTECA. CA 95366 Issued 3129/2002 <br /> Billing Address: ATTN : JOYCE MAUND <br /> TIME OIL CO <br /> 2737 W COMMODORE WAY <br /> SEATTLE,WA 98199-1233 <br /> 7023.rpt <br />