SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH 3 MRTNAENT
<br /> 1868 P. Hazelton Ave. • Stockton, CA 95205-6232 • Phone(209) 468-3470
<br /> Donna Heran,R.E.H.S.,Director
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE Onlv for"Permit Status" identified as IN COMPLIANCE
<br /> Program Permit Permit
<br /> Record ID Number Program Code and Description Permit Status: Valid
<br /> PRO513740 PT0009935 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY IN COMPLIANCE 1/112015 To 12/311`2015
<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,An.2-13,
<br /> Sec.25100 et seq,and Title 22,California Code of Regulations,Chap.20- ------------------ .-------._,____._----.
<br /> PR0231211 2300-UNDERGROUND STORAGE TANK FACILITY
<br /> Underaround Storage Tank 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 4 Tank Record ID Pcrmrt# Capacity Contents Permit Status System Type -Leak Detection Permit Valid
<br /> 2372 10 390002312110515704 PT0014868 20,000 REGULAR UNLEADED IN COMPLIANCE DOUBLE-WALL Continuous Monitoring 111/2015 To 1213112015
<br /> 2370 11 390002312110515705 PT0014869 10,000 DIESEL IN COMPLIANCE DOUBLE-WALL Continuous Monitoring 11112015 To 12/31/2015
<br /> 2370 12 390002312110515706 PT0014870 10,000 PREMIUM UNLEADED IN COMPLIANCE DOUBLE-WALL continuous Monitoring 1/112015 To 1213112015
<br /> BOE ID#: 44040801
<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 tank,the Permiaee shall ensure that both
<br /> the Tank Owner and tank Operator receive acopy of the permit.
<br /> 4) Written Momtonng Procedures and an Emergency Response Plan must be approved by the Environmental Health Department(EHD)and are considered UST Permit Conditions. The approved
<br /> monitoring,response,and plot plans shall be maintained onsite with the permit.
<br /> 5) The Pemrinee shall comply with the monimnng procedures referenced in tris permit.
<br /> 6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or mom 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 Permltee 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 EFD 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) CmnamactIM,repair and/or removal permits are required from the EHD poor 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"Condilionai"Permit may be revoked if corrections specified on theinspection report are not completed by the date($) indicated.
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<br /> PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause
<br /> PERMIT(s) Valid only for: SAFEWAY, INC.
<br /> DBA: SAFEWAY INC
<br /> Tank Owner: STAN OLEA CIO SAFEWAY, INC.
<br /> CERSID 10156811
<br /> Regulated Facility: SAFEWAY FUEL CENTER#2707 Facility ID FA0002409
<br /> 6425 N PACIFIC AVE AccountlD AR0004604
<br /> STOCKTON CA 95207 Issued 3119/2015
<br /> 7023.rp1
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