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SAN JOA UIN COUNTY ENVIRONMENTAL HEALTH 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 <br /> Recur Number am Code ard Description Valid <br /> --ELTS18332 PT0011 20-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2011 To 12/31/2011 <br /> Ha s e enerator Program: <br /> 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, <br /> Sec.25100 et seq,_and Title 22,California_ _de of Regulations,Chap.20_ <br /> - - -------- --- ----- ---- --------------------------------------------------- - --- - ------ <br /> PR0231069 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2011 To 12/31/2011 <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 /> - ------ ------- ------------------------------------------ -- -------- <br /> P/E Tank# 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 /> BOE ID#: 44046395 . <br /> Underground Storage Tank Permit Conditions <br /> 1) The Permit to Operate will become void if Annu I 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 owne 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 <br /> established by San Joaquin County. <br /> 3) If the Tank Operator(s)is different from the Tan c 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 /> the Tank Owner and tank Operator receive a cop of the permit. <br /> 4) Written Monitoring Procedures and an Emergency Itesponse 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 maint ined onsite with the permit. <br /> 5) The Pennittee shall comply with the monitoring pr(cedures referenced in this permit. <br /> 6) The Permittee shall perform testing and preventi a 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 ffice. <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,Art.5,and the approved Emergency Response Plan. <br /> 8) Written recorJs of all monitoring performed shal 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 owners iip or operation of the UST system within 30 days of such change. <br /> 10) Upon any change in equipment,design or operati n 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 /> 1 1) 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 shall submit an annual report documc ruing compliance with the UST Permit Conditions within 30 days of the date of the issuance of this peimit. <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 if corrections specified on the inspection report are not completed by the date(s) indicated. <br /> — .- ------------------------------ --—----— -—--------------------------------------——- ---- .---------—--------------------------------- ------ --------------- <br /> PERM TS TO OPERATE may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: ELDER, FASSEL(PHILLIP) <br /> TankOwner: ELDER, FASSEL <br /> TP11S FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> COUNTRY CLUB OOD & FUEL MINI MART* Facility ID FA0001909 <br /> Regulated Facility 1856 W COUNTR CLUB BLVD Account ID AR0001916 <br /> STOCKTON CA 5204 Issued 2/4/2011 <br /> Billing Address: ATTN ELDER FASSEL M OPERATOR <br /> COUNTRY CLUB F OD & FUEL MINI MART* <br /> 1856 COUNTRY C UB BLVD <br /> STOCKTON CA 5204 <br /> 7028.rpt <br />