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<br /> SAN JOAQLiI" v COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1
<br /> 304 E.Weber Ave.,Third Floor• Stockton,CA 95202-2708 • Phone(204)468-3420
<br /> Donna Heran,RE.H.S.,Director
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE -
<br /> Permit
<br /> Program Permit valid
<br /> Record ID Number Program Code and Description_
<br /> PR0513780 PT0009975� 2220.-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 11112007 To 12/31/2007
<br /> Hazardous Waste Generator Program:
<br /> In order to maintain the permit to ,Hazardous Waste Generators shall comply with California Health and Safety Code;Div.20,Chap.6.5,Art.2-13,-----
<br /> --
<br /> See et seq,and Tit ,Californi_ Code of Regulations,Chap.20. --__-. --------- -------- -
<br /> ---- - - 111/2007 To 1213112007
<br /> PR0231631 2300-UN RGROUND STORAGE TANK FACILITY
<br /> Underground Stor ark Pro ram -
<br /> Californla,Health an afety.Go Iv.20,Chap 6.7 and Tdle 23,California Code of Re ulations Chap 16 _-----------------------
<br /> California
<br /> _______ __:___
<br /> p ----- ------
<br /> P/E Tank# Tank Record ID Permit#. Capacity - Contents Permit Status :System Type Leak Detection
<br /> 'REGULP.R UNLEADED ACtIVe,billable `DOUBLE WALLED Continuous lntersatal Monitoring
<br /> 2362 4 390002316310163104 PT0004141 12,000 - DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 5 390002316310163105 PT0004142 10,000 . MIDGRADE UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 6 390002315310163106 PT0004143 . 8,000 PREMIUMUNLEADED Active,billable . i
<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 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 w any conditions
<br /> established by San Joaquin County. -
<br /> 3) If the Tank Operoulm(s)is different from the Tank Owner,or if the Permit to Operate is issued to a person other than the owner or operator of the tank,the Permittee shall ensure that both.
<br /> 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(END)and are considererdUST Permit Conditions..The approved
<br /> monitoring,response,and plot plans shall be maintained onsite with thepemul. -
<br /> 5) The pemuttee shall comply with the monitoring procedures referenced in this permit -
<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,and
<br /> provide documentation of such servicing to this office.
<br /> 7) In the event of a spill,leak,or other unauthorized release,the Pemtitee shall comply with the requirements of Title 23 CCR,Chap.16,Art.5,and the approved Emergency Response 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 of least three years from the date the monitoring was
<br /> performed.
<br /> 9) The BED shall be notified of any change in ownership or operation of the UST system within 30 days of such change
<br /> ion of the UST system(including change in tank contents or usage),the Permit to Operate will be subject to review,modification or
<br /> IO); Upon any change in equipment,design or operat
<br /> -revocation.
<br /> 11) Construction,repair and/or removal permits.are required from the EHD prior to any change,repair or removal of UST system equipment.
<br /> 12) The Penmttes shag submit an annual report documenting compliance with the UST Permit Conditions within j0 days of the 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 /> Facility ID FA0000091
<br /> Regulated Facility: JACKPOT FOOD MART' Account ID AR0000090
<br /> 14000 E HWY 88
<br /> LOCKEFORD CA 95237 issued 213/2007
<br /> Billing Address: ATTN TIME .OIL CO
<br /> JACKPOT FOOD MART*
<br /> PO BOX- 24447
<br /> SEATTLE WA 98129-0447
<br /> 7023.rp1
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