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<br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 304 E.Weber Ave.,Third Floor o S tockton,CA 95202-2708• Phone(209)468-3420
<br /> Donna Heran,RF-H.S.,Director
<br /> SAN JQUM)$(N- tIETMA& AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit Permit
<br /> Record;iJ Number Program Code and Description Valid
<br /> PRO518332 PT0011967 2220-SMALL(QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2005 To 12/31/2005 '
<br /> Hazardous Waste Generator 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,At 2-13,
<br /> Sec.25100 et seq„_ -- __:____ . a t-orma Code of_Regulations,Chap._20- __
<br /> ------- -- - ----- -------- --------- ------------
<br /> PR023,1069 2300-UNDERGROUND STORAGE TANK FACILITY 1/1;2005 To 12/31/2005
<br /> Underground Storage Tank Program:
<br /> California Health and Safety Code,Div.20,Chard Title 23,California Code of Regulations,Chap_16_ --------
<br /> - - ___
<br /> - - - - -- an - - --- C - ----- -
<br /> 236�P/ hank# 'Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> --4_ 90002310690508126 PT0009543 9,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring f '
<br /> 2360 5 390002310690508127 PT0009544 3,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitorings
<br /> BOFj 0245,x,9
<br /> Underground Storage Tank Permit Conditions
<br /> I j The Permit to Operate will become void if Annual Permit Fees and Seryice Fees are not paid and/or the UST system(s)fails to remain in compliance with these Permit Conditions.
<br /> 2 j 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 /> 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 owner or operator of the tank,the Permittee shall ensure that both a
<br /> the Tank Owner and tank Operator receive a copy of the permit.
<br /> 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
<br /> rncnitoring,response,and plot plans shall be maintained onsite with the permit.
<br /> 5) The Permittee shall comply with the monitoring procedures referenced in this permit.
<br /> 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
<br /> provide documentation of such servicing to this office.
<br /> 7) in the event of a spiil,Irak,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 records of all monitoring performed shall 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 /> revocation.
<br /> 11) 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 arm 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 considered permission to violate any laws,ordinances or statutes of any other Federal,State or Local agency.
<br /> 11) A"Conditional'Permit maybe revoked if corrections specified on the inspection report are not completed by the date(s) indicated.
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<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; SUK_HBIR, KAUR f'
<br /> THIS FORM MAST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility: COUNTRY CLUB FOOD R FUEL MINI MART Facility ID FA0001909
<br /> 1856 W COUNTRY CLUB BLVD Account ID AR0001916
<br /> STOCKTON, CA 95204 Issued 2/10/2005
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<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
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