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SAN JOAQUIN 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 Record ID NumberP m Code and Description Permit Valid _- -PR05113071 P W-2268-2220. SMAtL-"QUAUT-ITYHAZARDOUSMA3TE-GENERATOR-FACILITY- —HV20t3-TO-12/3112013— " azar ous asie t3eneral r Vro r m In order to maintain the pe 't t perate, Hazardous Waste Generators shall comply with 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, _ PR0231458 2300-UNDERGROUND STORAGE TANK FACILITY 111/2013 To 12131/2013 Underground Storage Tank Program' C _ Chap 6.7__._.._ _...._.-- .....__...... P/E Tank N Tank Record ID Permit N CapacityContents Permit Status System Type Leak Detection 2362 4 390002314580508098 PT0009523 12,000 REGULAR UNLEADED Active,billable DOUBLE-WALL Continuous Interstitial Maraudi ng 2360 5 390002314580508099 PT0009524 3,000 PREMIUM UNLEADED Active,billable DOUBLE-WALL Continuous Interstitial Monitoring BOE ID#: 44048220 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 systems)fails to remain in compliance with these Permit Conditions. 2) 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 established by San Joaquin 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 then the owner or operator of the tank,the Permittee shall ensure that both 'the Tank Owner end lank Operator receive a copy of the permit. 4) 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 petnhii. 5) The Permittee 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 ora spill,leak,or other unauthorized release,the Pennite shall comply with the requirements of Title 23 CCR,Chap. 16,An.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 opcmtion ofthe 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 andior removal permits 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 lows,ordinances or statutes ofany other Federal,State or Local agency. 13) A"Conditional"Permit maybe revoked fcorrections 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: VANCITY INC THIS FORM MOIST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES ' Regulated Facility: SAVE ON GAS & LIQUOR Facility lO FA0001196 420 W YOSEMITE AVE Account ID AR0001195 MANTECA CA 95337 Issued 2/1912013 Billing Address: ATTN : VANCITY INC SAVE ON GAS & LIQUOR 420 W YOSEMITE AVE MANTECA CA 95337 ]ti23rpt