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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.Wcber Avc.,Third Floor• Stockton,CA 95202-2708• Phonc(209) 468-3420 <br /> Donna Hcran, R-E.H.S., Director <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Permit <br /> Program Pcnnit Valid <br /> Record IU Number Program Code and Description <br /> PROSIB332 PT0011967 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2003 To 12/3112003 <br /> Hazardous Waste Generator Program: <br /> Califomia Health and Safety Code,Div.20,Chap.6S,Art.2-13,Sec.25100-- seq,_and Title 2-- Califomia Code of Regulations,Cha :20_ <br /> p <br /> ---------------------------------- --- ------------------- - --------- ---------- -- ------ - <br /> PR0231069 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2003 To 12/31/2003 <br /> Underground Storage Tank Program: <br /> California Health and Safety Code,Div.20, hap,6.7 and Title 23,California Code of Regulations,Chap_ 16.- ---------------------------------------------------- <br /> P/E Tank q Tank Record ID Permit# Capacity Conten Ls Permit Status System Type Leak Detection <br /> 2360 5 390002310690508127 PT0009544 3,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> 2362 4 390002310690508126 T0009543 9,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> Underground Storage Tank Permitonditions <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 incompliance with these Permit Conditions. <br /> 2) In order to maintain the operating permit the own.-r and operator shall comply with the I-I&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 Operator(s)is different from the Tank Owner,or if the Permit to Operate is issued to a person other than the oµner or operator of the tank,the Permittee shall ensure that both <br /> the Tank Owner and tank Operator receive a co y of the permit. <br /> 4) Written Monitoring Procedures and an Emergent Response Plan must be approved by the Environmental Health De <br /> parmrent(EHD)and are considcrerd UST Pcnnil Conditions. The approved <br /> monitoring,response,and plot plans shall be rwif taincd onsite with Ute permit. <br /> 5) The Pcnnitlee shall comply with the monitoring p ocedures referenced in this pennit. <br /> 6) The Permittee shall perfomi testing and preveni ive 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 Permitce 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 shidl 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 ownership or operation of the 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 /> 11) CSYfl4t'b191bn,repair and/or removal penniLs are mquired from the EHD prior to any change,repair or removal of UST system equipment <br /> 12) The Permittee shall submit an annual report d umeniing compliance with the UST Permit Conditions within 30 days of the anniversary 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,State or Local agency. <br /> 14) A"Conditional"Permit may be revoked ifcorrections 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)Valid only for: SINGH, BAKHSIS <br /> Tank Owner: BAKHSIS, SINGH; SUKHBIR, KAUR <br /> THIS FORM MUST BE DISPLAYED CO\SPICUOUSLY ON THE PRFNIISES <br /> Regulated Facility: COUNTRY CLUB FOOD 8r FUEL MINI MART Facility ID FA0001909 <br /> 1856 W COUNTRY CLUB BLVD Account ID AR0001916 <br /> STOCKTON, CA 95204 Issued 51112003 <br /> Billing Address: ATTN : BAKHSIS SINGH <br /> COUNTRY CLUB FOOD & FUEL MINI MART <br /> 1856 W COUNTRY CLUB BLVD <br /> STOCKTON, CA 95204 <br /> 7023.rpt <br />