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SAN JOAQ"AN OCOUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 304 E.Weber Ave.,Third Floor•Stockton,CA 95202-2708• Phone(209)468-3420
<br /> Donna Heron,R.EH.S.,Director
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit
<br /> Record ID Number Program Code and Description Permit
<br /> Valid
<br /> PRO514283 to Generator
<br /> 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2006 To 12/31/2006
<br /> Hazardous Waste Generator Procram,
<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 seg,and Title 22,California Code of Regulations, Chap.20, _
<br /> -- ------ ----- -----------------
<br /> -----------------------12/ —06
<br /> 0231465 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2006 To 12131/2006
<br /> Underground Storage lank Program,
<br /> California Health and Safety Code;Div.20,Chap_6.7 and Title 23,California Code of Regulations,Chap, 16.--------------------
<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 Monitonng
<br /> 2360 6 390002314650146506 PT0004485 8,000 'PREMIUM UNLEADED .Active,billable DOUBLE WALLED continuous interstitial Monitoring
<br /> Underground Storage Tank Perrnit Conditions
<br /> I) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid and/or the UST systems)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 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 pemdt.
<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 unauthorizedrelease,the Permitee shall comply with the requirements of Tide 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 EBD.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) Contraction,repair and/or removal permits are required from the 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 date of the issuance 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 /> 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 AccountlD AR0008444
<br /> MANTECA CA 95336 Issued 2/3/2006
<br /> Billing Address: ATTN TIME OIL CO -
<br /> JACKPOT FOOD MART*
<br /> 2737 W COMMODORE WAY-
<br /> SEATTLE WA 98199 ,
<br /> 7023.rp1
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