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SAN JOAN COUNTY PUBLIC HEALTH SI&ICES <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 HERAN, R.E.H.S.,DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> ermn <br /> rogram -Pee—=t Program Code and Description Valid <br /> Record lD Number o8 1/1100 To 12131100 <br /> PR051378 PT0009975 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY <br /> Hazardous Waste Generator Program: <br /> California Health and Safety Code Div.20,Chap.6.5,Art.2-13 Sec.25100 at seq,and Title 22 California Code of Regulations,Chap_20. <br /> _____ _ __ _ --TANK------ - --- --------------- 711100 To12131100 <br /> PR023163 2300-UNDERGROUND STORAGE TANK FACILITY . <br /> Underground Storage Tank Program: <br /> California Health and Safety Code Div.20,Chap.6.7 and Title 23 California Code of Regulations Cha 16. -----_----_ <br /> _ _ _ _ rents----9-- TATA-P----- - -- ----- ----- <br /> ----- -- - -- ---- ------------ -- <br /> -- <br /> n ecor errnr ap i onermi us <br /> ive <br /> 2360 5 390002316310163105 PT0004142 10,000 UNLEADED Active <br /> 2360 4 390002316310163104 PT0004141 12,000 UNLEADED Active <br /> I 1:11111211H <br /> Underground Storage Tank PermitConditions <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 <br /> these Permit Conditions. <br /> 2) In ogler to maintain the operating permit,the permit holdershall comply with the H&S Code,Div.20,Chap.6.7 and 6.75;and CCR,Title 23,Chap. 16 an <br /> 18,as well as any conditions established by San Joaquin County. <br /> 3) If the Tank 0perator(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 <br /> Permittee shall ensure that both the Tank Owner and tank Operator receive a copy of the permit. <br /> 4) Written Monitoring Procedures and an Emergency RespDonse Plan must be approved by the Environmental Health Division(PHS/EHD)and are considererd <br /> UST P�e7M�Tit Conditions. Copies of the Procedures andFmergency Response <br /> Plan must be attached to this permit or be available for review and/or inspection <br /> 5) ' e�%TtAV shall comply with the monitoring procedures referrenced in this permit. <br /> 6) The.Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently ifspecified by the <br /> equipment manufacturer,and provide documentation of such servicing to this office. <br /> 7) In the event of a spill,leak,or other unauthorized release,the Pemritee shall comply with therequvements of Title 23 CCR Chap. l6,ArL 5,andthe <br /> 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 at least three years <br /> from the date the 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 of the UST system(including change in tank contents or usage),the Permit to Operate will be subjectto <br /> review,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 of the anniversary date of the issuance <br /> 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 /> r <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 FORhI MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> JACKPOT FOOD MART* Facility ID 0000091 <br /> A <br /> Regulated Facility: Account ID R0000090 <br /> 14000 E HWY 88 Issued 9/2812000 <br /> LOCKEFORD, CA 95237 <br /> Billing Address: <br /> JACKPOT FOOD MART* <br /> PO BOX 24447 TERMINAL ST <br /> SEATTLE, WA 98124-2447 <br /> 7023.rp1 0 0 <br />