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SAN JOQ UIRCOUNTY ENVIRONMENTAL HEALT9DEPARTMENT
<br /> �
<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 /> S JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit Permit
<br /> Record Number ram Code nd Description Valid
<br /> P,R6518332 PT0011967 22201-SML QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2009 To 12/31/2009
<br /> �`FF9aatdnirc Wacta(-�nnfat r Prar>'ram:
<br /> I
<br /> In order to maintain the permit to operate, azardous 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 Code of Regulations,Chap.20_
<br /> PR0231069 2300-UND RGROUND STORAGE TANK FACILITY 1/1/2009 To 12/31/2009
<br /> Underground Storage Tank Program:
<br /> California Health and Safety Code,Div.20 Chap.6.7 and Title 23,California Code of Regulations, Chap._16._
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<br /> I P/E
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<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 /> Underground Storage Tank Permi Conditions
<br /> 1) The Permit to Operate will become void if An uaI 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 o er 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 T nk 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 c py of the permit.
<br /> 4) Written Monitoring Procedures and an Emergen y 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 tained onsite with the permit.
<br /> 5) The Permittee shall comply with he monitoring rocedures referenced in this permit.
<br /> 6) The Permittee shall perform testing and preve tive 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 thi office.
<br /> 7) In the event of a spill,leak,or other unauthori d 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 records of all monitoring performed s all 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 own rship or operation of the UST system within 30 days of such change.
<br /> 10) Upon any change in equipment,design or oper tion 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 r quired from the EHD prior to any change,repair or removal of UST system equipment.
<br /> 12) The Permittee shall submit an annual report doc enting 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 considered ermission to violate any laws,ordinances or statutes of any other Federal,State or Local agency.
<br /> 14) A"Conditional'Permit may be revoked if co ections 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: ELDER, FASSEL(PHILLIP)
<br /> Tan Owner: ELDER, FASSEL
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<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 2/4/2009
<br /> Billing Address: ATTN : ELDE , FASSEL M OPERATOR
<br /> COUNTRY CLUB OOD & FUEL MINI MART*
<br /> 1856 COUNTRY LUB BLVD
<br /> STOCKTON CA. 95204
<br /> 7023.rpt
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