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SAN JOAQUll-i a:OUNTY ENVIRONMENTAL REAI:i-_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 /> Recor um er am Code and Description Valid
<br /> 513740 PT0009835 2220-SM L QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 111/2010 To 12131/2010
<br /> -HazardeDs a Genera or Pro ram:
<br /> In order to maintain the perm-! o operate,Hazardous Waste Generators shall Comply with California Health and Safety Code, Div.20,Chap.6.5,Art.2-13,
<br /> Sec.25100-- seq,_and Title 22,CaWanfiia Code of Regulations,Chap:20,______________________
<br /> PR0231211 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2010 To 12/3112010
<br /> Underground Storage Tank Proaram:
<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 Is 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 /> BOE ID#: 44-040801
<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 die operating permit,the owner and operator shall comply with die 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 m 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 shag 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 are required from the EHD prior to any change,repair or removal of UST system equipment.
<br /> 12) The Permittee shag submit an arcual 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,Smte or Local agency.
<br /> 14) A"Conditional'Permit may be revoked if corrections specified on the inspection report are not completed by the dates) indicated.
<br /> PERMITS TO OPERATE are NOT TRANSFERABLE
<br /> and 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 Account ID AR0004604
<br /> STOCKTON CA 95207 Issued 2/10/2010
<br /> Billing Address: ATTN : MS #6516 TAX NASC
<br /> SAFEWAY FUEL CENTER #2707
<br /> PO BOX 29096
<br /> PHOENIX AZ 85038-9096
<br /> 7023.mt
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