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SAN JOA UIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 304 E.Wei>er Ave.,Third Floor a Stockton,CA 95202-2708 a Phone(209)468-3420
<br /> Donna Heran,R.E.H'.S.,Director
<br /> SA 30AQ�JM) T Ai IL M ENCY
<br /> PERMIT TO OPERATE —
<br /> Permit
<br /> Program Permit-- Valid
<br /> Record ID Ntimber Program Code and ription
<br /> PR 18332 PT0011967 2220-SMA L QU NTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2005 To 12/31/2005
<br /> Haz dous Waste Generator Program:
<br /> In order to maintain theniteraie,Hazardous Waste Generators shall comply with California Health and Safety Code,Div.20,Chap.6.5,Art.2-13,
<br /> Sec_25100 e_t seq,and Title 22,California Code of Regulations,Chap.20_ __
<br /> PR0231069 2300-UND RGROUND STORAGE TANK FACILITY
<br /> 1/1/2005 To 12/31/2005
<br /> Underground Storage Tank Program:
<br /> California Health and Safety Code,Div.2 ,Chap.6.7 and Title 23,California Code of Regulations,Chap_16-----------------_---------------------------------------------
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<br /> P/E Tank-7—Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2362 4 390002310690508126 PT0009543 .9,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 5 390002310690508127 PT0009544 3,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> .R��A9T-b3� �'
<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 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 /> ank 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 /> 3) If the Tank Operator(s)is different from the
<br /> the Tank Owner and tank Operator receive a opy of the permit.
<br /> 4) Written Monitoring Procedures and an Emerge cy 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 m intained onsite with the permit.
<br /> 5) The Permittee shall comply with the monitorin procedures referenced in this permit.
<br /> 6) The Permittee shall perform testing and prev ntive maintenance on all leak detection monitoring equipment annually,or more frequently if specified by the equipment manufacturer,and
<br /> provide.documentation of such servicing tot is office.
<br /> 7) In the event of a spill,leak,or other unautho ized release,the Pernitee shall comply with the requirements of Title 23 CCR,Chap.16,Art.5,and the approved Emergency Response Plan.
<br /> 8) Written records of all monitoring performed hall 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 oAnership or operation of the UST system within 30 days of such change.
<br /> 10) Upon any change in equipment,design oro ration 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 ar required from the EHD prior to any change,repair or removal of UST system equipment.
<br /> 12) The Permittee shall submit an 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 consider d 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 are NOT TRANSFERABLE
<br /> and may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s)V ,lid only for: SINGH, BAKHSIS
<br /> Tank Owner: BAKHSIS, SINGH; SUKHBIR, KAUR
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility: COUNTRY CLUB FOOD &FUEL MINI MART FacilityID FA0001909
<br /> 1856 W COUNTRY CLUB BLVD ,•Account ID AR0001916
<br /> SIssued 2110/2005
<br /> TOCKTON, A 95204
<br /> Billing Address: ATTN B KHSIS SINGH
<br /> COUNTRY CLUB FOOD & FUEL MINI MART
<br /> 1856 W COUNTRY CLUB BLVD
<br /> STOCKTON, CA 95204
<br /> 7023.rp1
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