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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 Pcoml
<br /> Record ID Num Pro am Code and Description
<br /> Valid
<br /> P 012082 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2011 To 12/31/2011
<br /> azardous Waste Gene
<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 seg,and Title 22,California Code of Regulations,Chap_20a__ _ _
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<br /> PR0231911 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2011 To 1213112011
<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. _ __
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<br /> P/E Tank# Tank Record 1D Permit# CapacityContents Pet mlt Status System Type Leak Detection
<br /> 2362 4 390002319110505682 PT0008228 10,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 5 390002319110505683 PT0008226 5,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 6 390002319110505684 PT0008227 5,000 DIESEL Active,billable DOUBLE WALLED Continuous Imers bal Monitoring
<br /> 50E1D#:.44046102
<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 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 both
<br /> the Tank Owner and lank 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 me coosidererd UST Penni[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 this period.
<br /> 6) The Permjttee 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 theevent 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 ofall 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 opera{ion 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 penuits are required from the EHD prior to any change,repair or removal of UST system equipment.
<br /> 12) The Permittee shall submit an mount report documenting eomplimrce with the UST Permit Conditions within 30 days of die 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 duels) indicated.
<br /> PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s)Valid only for: SANDHU FOOD & LIQUOR STORE LLC
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON'ItHE PREMISES
<br /> Regulated Facility COUNTRYSIDE MINI MART Facility ID FA0000540
<br /> 14971 N H W Y 88 Account ID AR0000539
<br /> LODI CA 95240 Issued 2/412011
<br /> Billing Address.
<br /> COUNTRYSIDE MINI MART
<br /> 14971 W HWY 88
<br /> LODI CA 95240
<br /> 7028.rpt
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