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�... owe 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 Permit Record ID Number Program Code and Description Valid PRO524846 PT0016971 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2014 To 1213112014 Hazardous Waste Generator Program - In order to maintain the permit to operate,Hazardous Waste Generators shall comply with California Health and Safety Code,Div.20,Chap.6.5,Art.2-13, Sec.2510 tseq-end-Titb2$-6eNf----- Code of Regulations,Chap_20.------, ---.---------__---________________________.__ P 21866 2300-UNDERG UND STORAGE TANK FACILITY 1/1/2014 To 12/31/2014 a Ta RProaramw California_ eakh-arfd Safety Code,Div.20,Chap.6.7 and Title 23,California Code of Regulations,Chap_16...... .._---_--_---.._-_._________..._.._._ P Tank# Tank Record m Permit# Capacity Contents Permit Status System Type Leak Detection 2372 1 390005218660515700 PT0014774 15,000 REGULAR UNLEADED ACTIVE,BILLABLE DOUBLE-WALL Continuous Monitonng 2370 2 390005218660515701 PT0014775 5,000 PREMIUM UNLEADED ACTIVE,BILLABLE DOUBLE-WALL Continuous Monitoring BOE ID#: 44043353 Underground Storage Tank Permit Conditions 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. 2) In order to maintain die 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 than the owner or operator ofthe 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 Department(EHD)and are considererd UST Permit Conditions. The approved monitoring,response,and plot plans shall be maintained onsite with the permit. 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 of a spill,leak,or other unauthorised release,the Permitee 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 die 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 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. 13) A"Conditional"Permit may be revoked if corections specified on the inspection report are not completed by the dates) indicated. ___________________-.-_._.__._..._________.__....____.____.._....___.__-.__..............._._.___.__.____.._.._____.____....._.___._.____..____...___-_. .__---- PERMITS _.PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause. PERMIT(s)Valid only for: PAQINC. Tank Owner: RANCHO SAN MIGUEL MARKET THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES RANCHO SAN MIGUEL MARKET` Facility ID FA0014852 Regulated Facility: Account ID 610 S CHEROKEE LN AR0025355 LODI CA 95240 Issued 3/12/2014 Billing Address: ATTN : GILBERT SILVA. RANCHO SAN MIGUEL MARKET* 17935 MURPHY PARKWAY LATHROP CA 95330 7023.Mt