|
SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 304 E.Weber Ave.,Third Floor•Stockton,CA 95202-2708• Phone(209) 468-3420
<br /> ��j(,��D(oninui Heran,RR..E.H.SS..,TD�ireHvnr �'�
<br /> SAN.T6kQ�1f2V"CQIJNTY'h1FIETAkl[ED" V& AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit Permit
<br /> Recor gram Code and Description Valid
<br /> F?A0518530 PT0012082 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 111/2005 To 12/3112005
<br /> Hazardous Waste Generator Program: -.
<br /> in-ordec-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,end Title 22,California Code of Regulations,Qhap.-20,------------------------------------------------------------------
<br /> PR0231911 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2005 To 12131/2006
<br /> Underground 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# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2362 4 390002319110505682 PT0008228 10,000 REGULAR UNLEADED Active,billable DOUBLE WALLED continuous totennaal monhming
<br /> 2360 5 390002319110505683 PT0008226 5,000 REGULAR UNLEADED Active,billable DOUBLE WALLED continuous Interstitial Monitoring
<br /> 2360 6 390002319110505684 PT0008227 5,000 DIESEL Active, billable DOUBLE WALLED Continuous Interstitial Monitoring
<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 pemdt,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 bath
<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(ERD)and are cunsidererd UST Permit Conditions. The approved
<br /> monitoring,response,and plot plans shall be maintained onsite with the pemut.
<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 Permime 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 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) Concoction,repair and/or removal permits are required from the EHD prior to my change,repair or removal of UST system equipment.
<br /> 12) The Permittee shall submit an annual report documenting compliance with the UST Permit 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 dam(s) indicated.
<br /> PERMITS TO OPERATE are NOT TRANSFERABLE
<br /> and may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s)Valid only for: BURGIN, GARY
<br /> DBA: COUNTRYSIDE MINI MART
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility: COUNTRYSIDE MINI MART Facility ID FA0000540
<br /> 14971 N HWY 88 Account ID AR0000539
<br /> LODI, CA 95240 Issued 2/10/2005
<br /> Billing Address:
<br /> COUNTRYSIDE MINI MART
<br /> 14971 N HWY 88
<br /> LODI, CA 95240
<br /> 7023.rp1
<br />
|