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f SAN JO)t!JUIN COUNTY PUBLIC HEALTH Szi VICES <br /> 304 E.WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 • PHONE (209)468-3420 <br /> KAREN FURST,M.D., M.P.H., HEALTH OFFICER <br /> DONNA HERRN,R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> ProgramPerini[ Pertnit <br /> Record 11) Number Program Code and Description Valid <br /> PRO514437 PT0010640 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/01 To 12131101 <br /> Hazardous Waste Generator Program: <br /> California Healthand Sae Code Div_20,Chap_6.5,Art_2-13 Sec.25100 et seq,and Tilde 22 California-Code of Regulations,Chap.20__ _ _ <br /> --0506538 1 NDERGROUND STORAGE TANK FACILITY 111/01 To 12/31101 <br /> oder r and St res e T nk r <br /> California Health and Safety Code Div_20_Chap_6.7 and Tilde 23 Califomia Code of Regulations Chap_16_ _________ _ ______________________ <br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Stains System Type Leak Detection <br /> 2360 2 390005065380506540 PT0008904 20,000 REGULAR UNLEADED Active DOUBLE WALLED ELECTRNC L LEAK DTEC <br /> 2362 1 390005065380506539 PT0008903 12,000 PREMIUM UNLEADED Active DOUBLE WALLED ELECTRNC L LEAK DTEC <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 system(s)fails to remain in compliance with these Permit <br /> 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 <br /> any conditions established by San Joaq uin County. <br /> 3) If the Tank Operabr(s)is d i ferent from the Tank Owner,or if the Permit to Operate is issued to a person other than the owner or operator of the tank,(hm Permittee shall <br /> ensure that both the Tank Owner and tank Operabr receive a copy of the permit. <br /> 4) Writien Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Division(PHS/EHD)and are considererd UST Permit <br /> Conditions. Copies of the Procedures and Emergency Response Plan must be attached to this perrnit or be available for review and/or inspection at the UST site <br /> 5) The Permittee shall comply with the monitoring procedures referenced in this permit. <br /> 6) The Permittee shall perform testing and preven rave maintenance on all leak detection monitoring equipment annually,or more frequently if specified bythe equipment <br /> manufacturer,and provide documentation ofsuch 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 Tile 23 CCR,Chap. 16,Art.5,and the approved Emergency <br /> Response Plan. <br /> 8) Writlen records of all monitoring performed shall be maintained on-site by the operatorand be available for inspection fora period of at least three Kars from the date the <br /> monitoring 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 ofthe UST system(including change in tank contents or usage),the Permit to Operate will be subject in review, <br /> modification or revocation. <br /> 11) 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 ofthe anniversary date ofthe issuance ofthis per mit. <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: RANUIO, MARK& PAULETTE <br /> DBA: COUNTRY MARKETPLACE <br /> Tank Owner: RANUIO, MARK A <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: COUNTRY MARKETPLACE Facility ID FA0007486 <br /> 1789 W CHARTER WY Account ID AR0011639 <br /> STOCKTON. CA 95206 Issued 312912001 <br /> Billing Address: ATTN : RANUIO, MARK& PAULETTE <br /> COUNTRY MARKETPLACE <br /> 1789 W CHARTER WY <br /> STOCKTON, CA 95206 <br /> 7023.not �111111!w \� <br />