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SAN JOAQUIV,4'OUNTY ENVIRONMENTAL HEALTP%%�WAPARTMENT
<br /> 60P E. Main St. is Stockton, CA 95202-3029 • Phone(209)468-3420
<br /> Donna Heran,R.E.H.S.,Director
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Permit
<br /> Program Permit
<br /> Pro Code and Description Valid
<br /> Record[D Number �m
<br /> PRO517800 PT0011719 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2012 To 12f31/2012
<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 etse ,and Title 22,California Code of Regulations,Chap.20_.______---__-_---------_________., __________________ __
<br /> -------- - -____________
<br /> PR05082213 0 UNDERGROUND STORAGE TANK FACILITY 1/112012 To 12/3112012
<br /> � ro
<br /> deround Stnraea9'afirc Program:
<br /> Caffornia Health and Safety Code,Div,20,Chap.67 and Title 23,-California Code of Regulations,Chap, 16., _______________________,__-________
<br /> P/E Tank# Tank Record ID Permit q Capacity Contents Permit Status System Type Leak Detection
<br /> 2362 1 390005062210506222 PT0008690 20,000 REGULAR UNLEADED Active,billable DOUBLE WALLED continuous hunatinsi Monitoring
<br /> 2360 2 390005062210506223 PT0008689 10,000 MIDGRADE UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 3 390005062210506224 PT0008688 10,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuwa Intemntisl*mtomp
<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,a;well u any conditions
<br /> established by San Joaquin Cowry.
<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 Perminee 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(EHD)and are considererd 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 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 Pemlitee shall comply with the requirements of Title 23 CCR,Chap. 16,An.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 at least three years from the date the monitoring was
<br /> performed.
<br /> 9) The 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 subject to review,modification or
<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) 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 /> 13) A"Conditional"Permit may be revoked if corrections specified on the inspection report are not completed by the datc(s) indicated.
<br /> PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s)Valid only for: HALLOUM,YOUSIF
<br /> DBA: ARCO/SUBWAY(FLAG CITY)
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> FLAG CITY ARCO/SUBWAY Facility ID FA0007287
<br /> Regulated Facility. 14931 N FLAG CITY BLVD Account ID AR0010766
<br /> LODI CA 95242 Issued 2/10/2012
<br /> Billing Address: ATTN : BALLOUM, YOUSIF
<br /> FLAG CITY ARCO / SUBWAY
<br /> 14931 N FLAG CITY BLVD
<br /> LODI CA 95242
<br /> 7023 rpt
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