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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E.Main St. • Stockton, CA 95202-3029 • 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 ID Number Program Code and Description Valid <br /> PROS13740 PT0009935 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2012 To 1213112012 <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,Art.2-13, <br /> Sec_25100 at se ,and Title 22:California Code of Regulations,Chap. ___ <br /> --- ------ -------'- ------ - ----- ----.. <br /> PR0231211 23 �@EI RGROUND STORAGE TANK FACILITY 111/2012 To 1 2/3112 01 2 <br /> - ergrounu-Storagea—T nK PfOoram' <br /> California Health and Safety Code,Div. - <br /> -- _....._......._..___.._. ..._ <br /> PIE Tank# Tank Record 1D Permit# CapacityContents Permit Status System Type Leak Detection <br /> 2372 10 390002312110515704 PT0014868 20,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> 2370 11 390002312110515705 PT0014869 10,000 DIESEL Active,billable DOUBLE WALLED continuous Interstitial Monitoring <br /> 2370. 12 390002312110515706 PT0014870 10,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> SQEID. g4g496;Q1 – <br /> Underground Storage Tank Permit Condi[i0ns <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 peram,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 rank 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 cousidererd UST Permit Conditions. The approved <br /> monitoring,response,and plot plans shall be maintained onsite with die permit. <br /> 5) The Permittee shall comply with the monitoring procedures referenced in this permit. <br /> 6) The Pemhimm 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 EHD shall be notified of any change in ownership or operation of die 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 arc 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 repon are not completed by the dale(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 /> Regulated Facility: SAFEWAY FUEL CENTER#2707 Facility ID FA0002409 <br /> 6425 PACIFIC AVE A=untlD AR0004604 <br /> STOCKTON CA 95207 Issued 2/1012012 <br /> Billing Address: ATTN : MS #6516 TAX NASC <br /> SAFEWAY FUEL CENTER #2707 <br /> PC BOX 29096 <br /> PHOENIX AZ 65036-9096 <br /> 7023.rpt <br />