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SAN JO QUIN COUNTY PUBLIC HEALTH SAVICES 304 E.WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 • PHONE(209) 468-3420 �..%� KAREN FURST, M.D., M.P.H., HEALTH OFFICER DONNA HERAN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCYCOPY PERMIT TO OPERATE Program errtut enm[ Record ID Number Program Code and Description Valid PRO51428 PT0010486 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/00 To 12131/00 Hazardous Waste Generator Program: California Health and Safety Code Div.20,Chap.6.5,Art.2-13 Sec.25100 et seq,and Title 22 California Code of Regulations,Chap.20. ----- - - - - - - ------------- --------- ------ - --—----- PR023146 2300-UNDERGROUND STORAGE TANK FACILITY 111100 To 12131/00 Underground Storage Tank Program: California Health and Safety Code Div.20,Chap.6.7 and Title 23 California Code of Regulations Chap. 16. _____ __ _ __ _ _ _ _ _ _____ _ _ _ _ _ _ _ _ _ .. _ _ _ .. - _ __ .. __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ___ _ P_ _Y_ ___ __ ______ __ _ _ __ _ _____ FIE an an ecor erml Capacity Contents ermn a us ys em ype e . e ec Ion Active 2360 5 390002314650146505 PT0004483 10,000 PREMIUM UNLEADED Active DOUBLE WALLED INTERSTITAL MONITOR 2360 4 390002314650146504 PT0004473 12,000 REGULAR UNLEADED Active DOUBLE WALLED AUTOMATIC TANK GUAGE 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. 2) In order to maintain the operatingpermit,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 conditions established by San Joaquin County. 3) Ifthe Tank 0crator(s)is different from the Tank Owner,or if the Penn it to Operate is issued to a person other than the owner or operator of the tank,the Permittee shall ensure that both the Tank Owner and tank Operator receive a copy of the permit. 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Division(PHS/EHD)and are considererd USrrhTPerr5mTTit Conditions. Copies of the Procedures and Emergency Response Plan must be attached to this permit or be available for review and/or inspection 5) `l%$erdtitAeshall comply with the monitoring procedures referrenced 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 Pernitee shall comply with the requirements of Title 23 CCR Chap. 16,Art.5,andthe 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 PHS/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) Construction,repair and/or removal permits are required from the PHS/EHD prior to any change,repair or removal of UST system equipment. 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. 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. 14) A"Conditional"Permit maybe revoked if corrections specified on the inspection report are not completed by the date(s) indicated. j PERMITS TO OPERATE are NOT TRANSFERABLE and may be SUSPENDED or REVOKED for cause. PERMIT(s)Valid only for: TIME OIL CO THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES Regulated Facility: JACKPOT FOOD MART' Facility ID FA0003739 1434 W YOSEMITE AVE Account ID AR0008444 MANTECA, CA 95366 Issued 912812000 Billing Address: ATTN : JOYCE MAUND TIME OIL CO 2737 W COMMODORE WAY SEATTLE, WA 98199-1233 7023.rpt