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<br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 1868 E. Hazelton Ave. • Stockton,CA 95205-6232 • 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 /> Program Permit Permit
<br /> Record ID Number Program Code and Description VAd
<br /> PRO517800 PT0011719 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 111/2013 To 12/31/2013
<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,AR.2.13,
<br /> Sec.25100 at seq and Title 22,Ca—lifo—rn,i�a C�od�e of Regulations,Chap.20: --, -------------_----_----.-------_----------------______.
<br /> PRO606221 23000-utr MROUND STORAGE TANK FACILITY 1/1/2013 To 1 213112 01 3
<br /> l I�yround Storace Tank Procram:
<br /> California Health and Safety Code,Div.20,Chap.6.7 and Title 23,California Code of Regulations,Chap_16 __..................................................
<br /> ankn Tank RecordPermit# Capacity Contents Permit Status System Type Leak tecnon
<br /> 2362 1 390005062210506222 PT0008690 20,000 REGULAR UNLEADED Active,billable DOUBLE-WALL Continuous lmaralifial Monitoring
<br /> 2360 2 390005062210506223 PT0008689 10,000 MIDGRADE UNLEADED Active,billable DOUBLE-WALL Continuous lraentittal Monitoring
<br /> 2360 3 390005062210506224 PT0008688 10,000 PREMIUM UNLEADED Active,billable DOUBLE-WALL Continuous lnleratilial Monitoring
<br /> BOE ID#: 44037709
<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 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 bank,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(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 Perminee 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,Am 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 time 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 arc 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 dau(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
<br /> AR0010786
<br /> LODI CA 95242 Issued 2/19/2013
<br /> Billing Address: ATTN : HALLOUM, YOUSIF
<br /> FLAG CITY ARCO / SUBWAY
<br /> 14931 N FLAG CITY BLVD
<br /> LODI CA 95242
<br /> 702arpt
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