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<br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 1868 E.Hazelton Ave. • Stockton,CA 95205-6232 • Phone(209) 468-3420
<br /> Donna Heran,R.E.H.S.,Director
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit Permit
<br /> Record to Number Program Code and Description Valid
<br /> PRO613740 PT0009935 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2014 To 12131/2014
<br /> _Hazardous Waste Generator Program
<br /> 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. --------------------------
<br /> MqOets _Title 22,California Code of Regulations,Chap_20. __________________ ---------------------------- -_
<br /> PR0231211 2 - NDERGROUND STORAGE TANK FACILITY 1/1/2014 To 12/31/2014
<br /> Tank Progra
<br /> California Hes Iv.20,Chap.6.7 and Title 23,California Code of Regulations,Chap_16.
<br /> ------------------------ ----- ----------------------------- ---.. ._-'----------
<br /> P/E Tank 9 Tank Record ID Permit q Capacity Contents Permit Status System Type Leak Detection
<br /> 2372 10 390002312110515704 PT0014868 20,000 REGULAR UNLEADED ACTIVE,BILLABLE DOUBLE-WALL Continuous Monitoring
<br /> 2370 11 390002312110515705 PT0014869 10,000 DIESEL ACTIVE,BILLABLE DOUBLE-WALL Continuous Monitoring
<br /> 2370 12 390002312110515706 PT0014870 10,000 PREMIUM UNLEADED ACTIVE,BILLABLE DOUBLE-WALL Continuous Monitoring
<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 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 Operators)is different from the Tank Owner,or if the Pernitto 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 considcmrd 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 Biis permit.
<br /> 6) The Pennine 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 Tide 23 CCR,Chap.16,An.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 /> 11) Construction,repair andtor removal permits as required from the EHD prior to any change,repair or removal of UST system equipment.
<br /> 12) This Permit to Operate shall not beconsidered permission to violate any laws,ordinances or statutes of any other Federal,State or Local agency.
<br /> 13) A"Conditional'Permit maybe revoked if corrections specified on the inspection report are not completed by the date(s) indicated
<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 C/O SAFEWAY, INC.
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> SAFEWAY FUEL CENTER#2707 Facility ID FA0002409
<br /> Regulated Facility: 6445 PACIFIC AVE AccountlD AR0004604
<br /> STOCKTON CA 95207 Issued 3/11/2014
<br /> Billing Address: ATTN : SAFEWAY, INC.
<br /> SAFEWAY FUEL CENTER #2707
<br /> 6000 STONERIDGE MALL RD. /PO BOX 9070
<br /> Pleasanton CA 94588
<br /> 7023.rpt
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