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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 /> Number Code and Description
<br /> Valid
<br /> RO PT0009935 -SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2011 To 12/31/2011
<br /> Hazardous Was ra or 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,California Code of Regulations,Chap.20,
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<br /> PR0231211 2300-UNDERGROUND STORAGE TANK FACILITY 111/2011 To 12/31/2011
<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 ID Permit# Capacity Contents 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 /> B9E91I a&41115TV191 aaIi_
<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 fire 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 Operators)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 rank 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 considered 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 peratit.
<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 perfori aed 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 /> perforated.
<br /> 9) The EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such chmhge.
<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) Conwrmtion,repair andror removal penints are required from the ERD prior to any change,repair or removal of UST system equipment.
<br /> 12) The Pemtitme shall submit an annual report documenting Compliance with the UST Penmit Conditions within 30 days of the date of the issuance of this penint.
<br /> 13) This Pena 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 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 DE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility: SAFEWAY FUEL CENTER#2707 Facility ID FA0002409
<br /> 6425 PACIFIC AVE ACCounl ID AR0004604
<br /> STOCKTON CA 95207 Issued 2/4/2011
<br /> Billing Address: ATTN : MS 46516 TAX NASC
<br /> SAFEWAY FUEL CENTER #2707
<br /> PO BOX 29096
<br /> PHOENIX AZ 85038-9096
<br /> 7026.rpt
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