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SAN JOAQULN COUNTY ENVMONMENTAL HEALTH DEPARTMENT 1868 E. Hazelton Ave. • Stockton, CA 95205-6232 • Phone (209) 468-3420 Donna Heran,R.E.H.S.,Director ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Program Permit Permit Record ID Number Program Code and Description Valid -PRO519033 PT00-12266 Z220---SMALL_QUANTITY HAZARDOUSWASTE-GENERATORFACILITY - 1/1/2013 To 12/31/2013 -- Hazardous Waste Generator Program: 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, Sec. 25100 et seq,and Title 22 ornia Code of Regulations,Chap.20----------------_-------_----_-_----__--_---_---_-______---___-_----_.--_-_--_--__--_______-- --- - --- - PR0231433 DERGROUND STORAGE TANK FACILITY 1/1/2013 To 12/31/2013 Under round Stora e Tank(2300- o ram: California Health and Safety ode, D' .20,Chap.6.7 and Title 23, California Code of Regulations,Chap_16. - ...._.... -- ---- -- - --------- ------------------ -- P/( Tank# Tank Record I Permit# Capacity Contents Permit Status System Type Leak Detection 2362 1 390002314a30143301 PT0004080 10,000 REGULAR UNLEADED Active,billable DOUBLE-WALL Continuous Interstitial Monitoring 2360 2 390002314330143302 PT0004081 10,000 PREMIUM UNLEADED Active,billable DOUBLE-WALL Continuous Interstitial Monitoring 2360 3 390002314330143303 PT0004082 10,000 DIESEL Active,billable DOUBLE-WALL Continuous Interstitial Monitoring BOE ID#: 44045785 Underground Storage Tank Permit Conditions 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. 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 established by San Joaquin County. 3) If the-rank Operator(s)is different from the Tank Owner,or if the Pen-nit to Operate is issued to a person other than the owner or operator of the tank,the Permittee shall ensure that both the Tank Owner and tank Operator receive a copy of the permit. 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 monitoring,response,and plot plans shall be maintained onsite with the pennit. 5) The Permittee shall comply with the monitoring procedures referenced in this permit. 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 provide documentation of such servicing to this office. 7) In the event of a spill,leak,Mother unauthorized release,the Permitee shall comply with the requirements of Title 23 CCR,Chap. 16,Art.5,and the approved Emergency Response Plan. 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 performed. 9) The EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change. 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 revocation. 1 1) Constriction,repair and/or removal pennits are required from the EHD prior to any change,repair or removal of UST system equipment. 12) This Permit to Operate shall not be considered permission to violate any laws,ordinances or statutes of any other Federal,State or Local agency. 13) A"Conditional'Permit may be revoked ifcorrections specified on the inspection report are not completed by the dates) indicated. PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause. PERMIT(s)Valid only for: EXPRESS MARKET DBA: 76 EXPRESS MARKET Tank Owner: KULJIT S MANGAT THIS FORM MLIST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES 76 EXPRESS MARKET* Facility ID FA0003685 Regulated Facility: 419 S MAIN ST Account ID AR0003263 MANTECA CA 95336 Issued 2/19/2013 Billing Address: ATTN : MANGAT KULJIT 76 EXPRESS MARKET* 419 S MAIN ST MANTECA CA 95337 7023 rpt