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SAN JO- oUNTY ENVIRONMENTAL HEALTH _PARTMENT 1868 E. �azelton 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 ��Program Permit Record ID N/ umber de an Description Valid PRO518332 PT0011967 2224-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 6/7/2013 To 12/31/2013 r ous ase enerator Program: In order to maintain the permit to operate, H�zardous 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,California C de of Regulations,Chap.20: ----------- PR0231069 2300-LINDE GROUND STORAGE TANK FACILITY 6/7/2013 To 12/31/2013 Underground Storage Tank Program: California Health and Safety Code, Div.20, hap.6.7 and Title 23,California Code of Regulations,Chap. 16. ----------------------------------- ---- --------------- ------- - - P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detectton 2362 4 390002310690508126 F T0009543 9,000 REGULAR UNLEADED Active,billable DOUBLE-WALL Continuous Interstitial Monitoring 2360 5 390002310690508127 F T0009544 3,000 PREMIUM UNLEADED Active,billable DOUBLE-WALL Continuous Interstitial Monitoring Underground Storage Tank Permit Conditions 1) The Permit to Operate will become void if Antil.al 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 own r 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 Tank Operators)is different from the Ta 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 the Tank Owner and tank Operator receive a coy y 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 maini ained onsite with the permit. 5) The Permittee shall comply with the monitoring pr cedures 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 ffice. 7) In the event of a spill,leak,or other unauthorize 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 sha I 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 owner hip or operation of the UST system within 30 days of such change. 10) Upon any change in equipment,design or operat on 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) Construction,repair and/or removal permits are re uired from the EHD prior to any change,repair or removal of UST system equipment. 12) This Permit to Operate shall not be considered p rmission to violate any laws,ordinances or statutes of any other Federal,State or Local agency. 13) A"Conditional'Permit may be revoked if co ctions specified on the inspection report are not completed by the date(s) indicated. ------------------------------ -------------------- -----------_------- --------------------------------------------------------- PER ITS TO OPERATE may be SUSPENDED or REVOKED for cause. PERMIT(s)Valid only for: YAHYA, ABDO NAG[ DBA: COUNTRY CLUB FOOD 8t FUEL MINI MART Tank Owner: FASSEL M ELDER HIS FORM MAST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES COUNTRY CLUBIFOOD 8t FUEL MINI MART FacilitylD FA0001909 Regulated Facility: 1856 W COUNTR CLUB BLVDAR0039202 AccountlD STOCKTON CA 5204 Issued 8/16/2013 Billing Address: ATTN : YAHY , ABDO COUNTRY CLUB OOD & FUEL MINI MART 1542 E MILTON ST STOCKTON CA 95205 7023.rp1