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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.Weber Ave.,Third Floor•Stockton,CA 95202-2708• Phone(209) 468-3420 <br /> Donna Heron,REH.S.,Director <br /> NMrNTAI� <br /> SAN 9Q ,'OU1�TY-CERTIFIEISUNIN7� ENCY <br /> PERMIT TO OPERATE <br /> Program Permit permit <br /> Record ID Number Program Code and Description _ <br /> Valid <br /> PRO514283 PT0010486 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY - 1/1/2005 To 12/31/2005 <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.25 t- --ndTitl California Code of Regulations,Chap.20. _ <br /> -"- ------"" ---n -'----- ----- - - - ---'----- —---------- <br /> R0231465 2300- NDERGROUND STORAGE TANK FACILITY 1/1/2005 To 12/31/2005 <br /> round Storage Tank Pro <br /> Cali ornl ea and Safety Code, Div_20,Chap.6.7 and Title 23,California Code of Regulationst Chap_ 16. <br /> ----- ' ------ " - . - - "" --------- --- <br /> P/E 'Tank# Tank Record ID Permit#-Capacity Contents Permit Status System Type Leak Detection <br /> 2362 4 390002314650146504 PT0004473 12,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> 2360 5 390002314650146505 PT0004483 10,000 MIDGRADE UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> 2360 6 390002314650146506 PT0004485 8,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> 80E ID# 44-014379 _ <br /> ` Underground Storage Tank Permit Conditions <br /> 1) 1'he 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 m 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 considererd UST Permit Conditions. The approved <br /> monitoring,response,and plot plans shall be maintained onsite with the pemuit. <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 Pernitee 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 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 /> 1 I) 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 Pemrinee shall submit an annual repair documenting compliance with the UST Permit Conditions within 30 days of the date of the issuance of this permit. <br /> 13) This Permit to Operate shal I 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 dates) 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* Facility ID FA0003739 <br /> 1434 W YOSEMITE AVE Account ID AR0008444 <br /> MANTECA, CA 95336 Issued 2/10/2005 <br /> Billing Address: ATTN : TIME OIL CO <br /> JACKPOT FOOD MART* <br /> 2737 W COMMODORE WAY <br /> SEATTLE, WA 98199 - <br /> 7023.rpt - _ <br />