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SAN JOAQU'.R COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 304 E.Weber Ave.,Third Floor•Stockton,CA 95202-2708•Phone(209)468-3420
<br /> Donna Hcran,REH.S.,Director
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUINCOUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit - Pcrmit
<br /> Record ID Number Program Code and Description
<br /> Valid
<br /> PROS13780 PT0009975 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2006 To 12/31/2006
<br /> Hazardous Waste Generator Program:
<br /> 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,
<br /> Sec.25100 et seq,and Title 22,California Code of Regulations,Cha .20
<br /> ------- - - ------- --------- — -------'- ----
<br /> PR0231631 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2006 To 12/31/2006
<br /> Underground Storage Tank Program,
<br /> California Health and Safety Code, Div.20,Chap.6.7 and Title 23,California Code of Regulations,Chap16
<br /> - --------- ----- -------- --- ----------------------------------------- -
<br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak.Detection
<br /> 2362 4 390002316310163104 PT0004141 12,000 REGULAR UNLEADED Active, billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 5 390002316310163105 PT0004142 10,000 MIDGRADE UNLEADED Active, billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 6 390002316310163106 PT0004143 8-,000 PREMIUM UNLEADED Active,billable .DOUBLE WALLED . Continuous Interstitial Monitoring
<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 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 as any conditions
<br /> established by San Joaquin County,
<br /> 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 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 most be approved by the Environmental Health Department(EHD)and are consideterd UST:Permit Conditions. The approved
<br /> monitoring,response,and plot plans shall be maintained onsite with the permit
<br /> 5). The Permittee shall comply with the monitoring procedures referenced inthis 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 Permitee 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 ofat least three years from the date the monitoring was
<br /> performed.
<br /> 9) The EHE,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 of the UST system(including change in tank contents or usage),the Permit to Operate will be subject to review;modification or
<br /> revocation. -
<br /> 11)' Construction;repair and/or.removal permits are required from the EHD prior toany change,repair or removal of UST system equipment
<br /> 12) The Pcimittee shall submit an normal,report documeming compliance with the UST Pecan Conditions within 30 days of the date of the issuance of this pemm.
<br /> 13) This Permit m 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 /> Regulated Facility: JACKPOT FOOD MART' FacilityID FA0000091
<br /> 14000 E HWY 88 Account ID AR0000090
<br /> LOCKEFORD CA 95237 Issued 2/3/2006
<br /> Billing Address: ATTN : TIME OIL CO
<br /> JACKPOT FOOD MART*
<br /> PO .BOX 24447.
<br /> SEATTLE WA- 98.124-0447
<br /> 7023 pt
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