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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTIVIENT <br /> 1868 E. Hazelton Ave. • Stockton, CA 95205-6232 • Phone(209)468-3420 <br /> Donna Heron,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 ED Number Program Code and Description Valid <br /> - PRO513740 —PT0009935— 222e---SMALL-QUANTITY HAZARDOUS WASTE GEN€RATOR-FACILrtTY— — 1Nf2013-To-1213N2013 - <br /> -Hazar ous aste 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 22 lifornia Code of Regulations,Chap.20, - - <br /> PR0231211 2300-)UNDERGROUND STORAGE TANK FACILITY 1/1/2013 To 12/3112013 <br /> Underground Storage TanNPro ra <br /> California Health and Safety Div.20,Chap.6.7 and Title 23,California Code of Regulations,Chap. 16. . <br /> ......... ._ . ...__ _ ......._ __ _----........_. -.-.. <br /> P/E Tank 4 Tank Record ID Pemart 9 Capacity Contents Permit Status System Type Leak Detectwn <br /> 2372 10 390002312110515704 PT0014868 20,000 REGULAR UNLEADED Active,billable DOUBLE-WALL continuouslmerstitlal Monitoring <br /> 2370 11 390002312110515705 PT0014869 10,000 DIESEL Active,billable DOUBLE-WALL Continuous Interstitial Monitoring <br /> 2370 12 390002312110515706 PT0014870 10,000 PREMIUM UNLEADED Active,billable DOUBLE-WALL Continuous Interstitial Monitoring <br /> BOE ID#: 44040801 <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 Elie UST system(s)fails to remain in compliance with these Permit Conditions. <br /> 2) In order to maintain the operating pernil,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 Opermor(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 Pennine shall ensure that both <br /> the Tank Owner and tank Operator receive a copy of the permit. <br /> 4) Written Monitoring Procedures acid 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 Elie permit. <br /> 5) The Pennine shall comply with the monitoring procedures referenced m this permit. <br /> 6) The Permittee shell 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 ofsuch servicing to this office. <br /> 7) In the event ofa spill,leak,or other unauthorized release,the Pernitee shall comply with the requirements of Title 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 or at least three years from the date the monitoring was <br /> performed. <br /> 9) The EHD shall be notified army 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 and/or removal permits are required from the EHD prior 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"Conditional"Permit may be 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 /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> SAFEWAY FUEL CENTER#2707 Facility ID FA0002409 <br /> Regulated Facility 6425 PACIFIC AVE Account ID AR0004604 <br /> STOCKTON CA 95207 Issued 2/1912013 <br /> Billing Address. ATTN : MS 46516 TAX NASC <br /> SAFEWAY FUEL CENTER #2707 <br /> PO BOX 29096 <br /> PHOENIX AZ 85038-9096 <br /> 7023 not <br />