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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 Heran,R.EH.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> _ PERMIT TO OPERATE <br /> Program PermitPermit <br /> Recordm Number Program Code and Description Valid <br /> PR0514283- PT0010486 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2007 To 1213112007 <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 _ rnia Code.of Regulations,Chap.20. ____ _____;_ _______- --------- ---------- __-__ . _-__-. <br /> --- ------ - ---- ------ ---- <br /> PR0231465 2300-U DERGROUND STORAGE TANK FACILITY 1/1/2007 To 1213112007 <br /> UndergroundStora nk Pro ram: <br /> California Health and fety Code D .20,Chap.6.7 and Title 23,-California Code of Regulations Chap,15.. ____ ______ <br /> ----- - — ------ — --- ---- <br /> P/E Tank# - Tank D Permit# Capacity Contents PermttStatus System Type LeaKDetection <br /> 2362 4 390002314650146504 PT0004473 12,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> 2360. 5 390002314550146505 -PT0004463. 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 /> Underground Storage TankPermit Conditions <br /> 1) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid and/or the AST 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 A&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 Opemtor(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 receives copy of the permit - <br /> 4) Written Monitoring Procedures and an Emergency Response Plan most be approved by the Environmental Health Department(FEED)and are considererd UST Permit Conditions. The approved <br /> monitoring,response,and plat plans shall be maintained onsite with the permit - - <br /> 5). The Permutes shall comply with the monitoring procedures referencedin this permit <br /> 6) The Permittee shall perform testing and preventivemaintenance on all leak detection monitoring equipment_annually,or more frequently if specified by the equipment manufacturer,and <br /> r. provide documentation of such servicing to this office. - <br /> 7) In the event of a spills leak,or otherunauthoriud release,the Pennitee shall comply with the requirements of Title 23 CCR,Chap.16,ArL5,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 inspectionfor 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 changein 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 /> Mutation. <br /> l l) Construction,repair and/or removal permits are required from the ERD.pdor to my 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 date of the issuance of this permit. <br /> 13) This Portrait to Operateshall 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 onthe inspection report are not completed by the date(s)indicated.. ' <br /> PERMITSTO.OPERATE are NOT TRANSFERABLE <br /> „ andmay be SUSPENDED or REVOKED for cause.- - <br /> PERMIT(s)Valid only for: TIME OIL CO <br /> - <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: JACKPOT FOOD MART* - Facility ID FA0003739 <br /> 1434 W YOSEMITE AVE AocountID AR0008444 <br /> MANTECA CA 95336 Issued 2/13/2007 <br /> Billing.Address:. ATTN : .TIME OIL. CO - <br /> JACKPOT .FOOD MART*' - - - - <br /> 2737 W COMMODORE WAY <br /> -SEATTLE WA. 98199 - <br /> 7023.rp1 <br />