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SAN JOAQUE, —OUNTY ENVIRONMENTAL HEALT><_DEPARTMENT <br /> 600 E. Main St. • Stockton, CA 95202-3029 • 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 IDmer ode and Description <br /> Valid <br /> ?J530 PT0012082 2220:_UAALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2010 To 12/31/2010 <br /> zardous Waste Gene ram: <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 sect,and Title 22,California Code of Regulations,Chap.20, __ _ <br /> PR0231911 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2010 To 12/31/2010 <br /> Underground Storage Tank Program: <br /> California Health and Safety Code,Div.20,Chap.6.7 and Title 23,CaliforniaCotle 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 vv LLED Comnuous 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 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 permit,the owner and operator shall comply with the H&S Cade,Div.20,Chap.6.7 and 6.75;and CCR,Title 23,Chap.16 and 18,as well as goy 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 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 considererd 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 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 Permitee 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 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 and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment. <br /> 12) The Permittee shall submit ao 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 dale(s) indicated. <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and 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 THE PREMISES <br /> Regulated Facility: COUNTRYSIDE MINI MART Facility ID FA0000540 <br /> 14971 N HWY 88 Account ID AR0000539 <br /> LODI CA 95240 Issued 2/10/2010 <br /> Billing Address: <br /> COUNTRYSIDE MINI MART <br /> 14971 W HWY 88 <br /> LODI CA 95240 <br /> 7023.rpt <br />