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y,�+ 3 " dt ,td•'t." 4 e{rkc., • a „i.&T+W 3,dk'a,' "Wx It .»'vS k 0R 5� t1 <br /> eN <br /> SAN JOAQU OUNTY ENVIRONMENTAL HEAL EPARTMIENT <br /> z r p <br /> r 4 N'.117 h <br /> k , k ya ,, ,L'rfi: <br /> t1 � � 600 E. Main St. • Stockton,CA 95202-3029 • Phone(209)468-3420 ; , , F <br /> F <br /> x 4 Donna Heran,R.E.H.S., Director srYy ' <br /> ENVIRONMENTAL HEALTH " ' <br /> t m ✓Ly ifr ax y t <br /> wr <br /> SAN JOA UIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCYt»ti� �� <br /> PERMIT TO OPERATE r „ <br /> a {*,:r Program Permit Permit <br /> ecord ID Number Program Code and Description Valid <br /> PR6518326 T0011965 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2008,To 12/31/2008 <br /> NaZfdQtlS Waste GeilefatOlPfogram: � <br /> In order_to maintain the permit to operate, Hazardous Waste Generators shall comply with California Health and Safely Code,Div.20,Chap.6.5,Art.2 <br /> Sec.25100 et seq,and Title 22,California Code of Regulations,Chap.20_ <br /> --- ---------- ------- --------- - ---- ---------- <br /> PR0231216 - 2300.-UNDERGROUND STORAGE TANK FACILITY 1/1/2008 To 12/31/2008 <br /> -72Mder round Storage Tank Pro ram: <br /> hfornia Health and Safety Code,_Div.20,Chap._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 11 390002312160515679 PT0014658 12,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> 2360 12 390002312160515680 PT0014659 8,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> I30E0#: 44-024889 <br /> a <br /> Underground Storage Tank Permit Conditions 4W15 <br /> 4 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 /> w. 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 tS <br /> established by San Joaquin County. <br /> j3) 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 <br /> the Tank Owner and tank Operator receive a copy of the permit. <br /> r s <br /> 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health De <br /> par¢neat(EHq)and are considererd USS Perritt Conditions. The approved,"y <br /> ,t monitoring,response,and plot plans shall be maintained onsite with the permit. � �av"{ d , 01" <br /> 5) The Pennittee shall comply with the monitoring procedures referenced in this permit, „PF <br /> 6) The Permittee shalt 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. r. <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 /> `4 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 m�nitonng w <br /> performed i>xl oa r a a s'+ f . <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 tP review modification or <br /> revocation <br /> 11) Construction,repair and/or removal pennits 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 docwnenting compliance with the UST Permit Conditions within 30 days of the date of the issuance <br /> Y <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 <br /> 14) A"Conditional"Permit may be revoked of corrections specified on the inspection report are not completed by the date(s) indicated <br /> w. ,. <br /> r, a >3i^s.0 3v-`ii✓�a'i,r,�+^wit i f , °,4 �' �t,#4rtFy,cm�.4t`e.z�7,,.,fi;;tt <br /> { +8, ks'k r, ' <br /> t <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. k .c <br /> PERMIT(s)Valid only for: E &A CABRERA UNLIMITED INCA <br /> , <br /> DBA: PACIFIC MINI MART &GAS <br /> . <br /> Tank Owner: WYATT FAMILY LTD PTP <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Facility ID <br /> 80 <br /> 4511 PACIFICAVE Account ID AR0004647� � < ", FA00024r#r <br /> Regulated Facility: PACIFIC MINI MART &DELI & <br /> IV j <br /> STOCKTON CA 952075W <br /> � � Issued 2/8/2008 r" <br /> a e <br /> ``�'`, i;p, � g g"st �.,.s �`+� .i '✓ 1Y�`u ''G,.'j i .� „"�a t a 5 ,�w t ' <br /> Billing Address' t f i✓'.. �,.`�J' _""4 h e ..v, },.! t z � � 4Y s Sex'''" a ¢ J✓ <br /> =_ PACIFIC MINI MART & DELI & GAS* <br /> x 4511 PACIFIC AVE <br /> MN7 STOCKTON CA 95207 <br /> rg S <br /> '4s. ar�' �!d++ � 4' ', ` a✓� c } .�. , ,'- �� r':;x a > i s ^" x'' i ` � `-. .. <br /> nr <br /> , _"..� ' °x-.. � <br /> 5� �!p, <br /> ,� k a _ x.r� Yom^ ,,:x r x ,�:�' � a� c�=,.. ,•�'4� -a<t1.. ,.it'#ri, .-. .i. .# €��c d„ <br />