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<br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 304 E.Weber Ave.,Third Floor• Stock_ton,CA 95202-2708 a Phone(209)468-3420
<br /> Donna Heran, R-E.H.S., Director
<br /> 'r HF.AI'I H
<br /> SAN JQM1NWFIED NI IED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit Permit
<br /> Record ID Number Program Code and Description Valid
<br /> PR0521930 PT0014827 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2005 To 12/31/2005
<br /> Hazardous Waste Generator Program:
<br /> In order to maint ' e-permt"o-upe Hazardous Waste Generators shall comply with California Health and Safety Code,Div.20,Chap.6.5,Art.2-13,
<br /> Sec.25. seq,and Title 22,California de if Regulations,Chap.20_
<br /> c.2
<br /> - --------- ------------ ----------- ------ --------------------------------------------------------------------------------------
<br /> PRO517565 2300-UND GROUND STORAGE TANK FACILITY 1/1/2005 To 12/31/2005
<br /> Under round Stora e Tank Pro r
<br /> alifornia Health y 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 1 390005175650515606 PT0011677 20,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 2 390005175650515607 PT0011678 10,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 3 390005175650515608 PT0011679 10,000 MIDGRADE UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> OO15IDf- 44=040801
<br /> Underground Storage Tank Permit Conditions
<br /> I) 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 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 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 Permitee 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 El ID 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 1) Constriction,repair and/or removal permits are required from the El ID prior to any change,repair or removal of UST system equipment.
<br /> 12) The Pennittee shall submit an annual report documenting compliance with the UST Pennit 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: SAFEWAY INC
<br /> THIS FORM NIUST BE DISPLAYED CONSPICUOUSLY ON 71'I1F.PREMISES
<br /> Regulated Facility: SAFEWAY#2600 Facility ID FA0013503
<br /> 1987 W 11TH ST Account ID AR0022603
<br /> TRACY, CA 95376 Issued 2/10/2005
<br /> Billing Address: ATTN : C/O DAIGNEAU, EMILY
<br /> SAFEWAY #2600
<br /> 12265 W BAYAUD AVE, STE 300
<br /> LAKEWOOD, CO 80228
<br /> 7023.rpt
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