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<br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT ;
<br /> + 304 E.Weber Ave.,Third Floor Stockton,CA 95202-2708• Phone(209)468-3420 r
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<br /> i Donna Heran,R.E:H.S.,Director
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<br /> ENVIRONMENTAL HEALTH k"
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<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit :, Permit
<br /> Record ID Number Program Code and Description ' Valid
<br /> PR0518326 PT0011965 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2006 To 12/31/2066
<br /> Hazardous Waste Generator Program:
<br /> In order to maintain the permit to operate,Hazardous Waste Generators shall comply with California Health and Safety,Co*Div::20,Chap.6.5,Art.2-13,
<br /> Sec 25100 st seq,_and Title 22,California Code of Regulations,Chap.20_
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<br /> PR0231216 ' 2300-UNDERGROUND STORAGE TANK FACILITY 1I112006 To 12/31/2006
<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 /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type.. Leak Detection r.
<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
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<br /> Underground Storage Tank Permit Conditions `
<br /> 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 compliancemith these Permit Conditions mrr
<br /> 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,.Chaip 16 and 18,as well as any conditions '
<br /> established by San Joaquin County.
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<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'Penpittee shall ensure that both d
<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 lV$T+Permit,Conditions. The approved ,
<br /> monitoring,response,and plot plans shall be maintained onsite with the permit: t.
<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 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 records of all-monitoring performed shall be maintained on-site by the operator and be available for inspection for a period of at least threayears from the date the monitoring was
<br /> performed.
<br /> 9}` The EHD shall be notified oFattq change in ownership or operation of the UST system within 30 days of such change: a.
<br /> ',30) Upon any change in equipment,design or operation of the UST system(including change in tank contents or usage),the Permit to Operate wiU'6e�Eryeet to•rgvtaMv,eatt�ifi (M
<br /> revocation. ,
<br /> a Ii 'Co4struction,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment. r r
<br /> 2) The Permittee shall submit an 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 Lacal agency. + a
<br /> 14): A."Conditional"Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated s
<br /> PERMITS TO OPERATE are NOT TRANSFERABLE {
<br /> and may be SUSPENDED or REVOKED for irause
<br /> PERMIT(s)Valid only for:: E&A CABRERA UNLIMITEDf INC
<br /> DBA'" PACIFIC MINI MART& GAS
<br /> Tank Owner: -WYATT FAMILY LTD PTP
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY-ON THE PREMISES
<br /> Regulated Facility:. PACIFIC MINI MART& DELI & GAS* FBdI410:FA0002480
<br /> 4511 PACIFIC AVE A=WFAID ARD004647
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<br /> STQCFTON CA 95207 Issued 2/3/2006
<br /> Billing Address: r
<br /> PACIFIC MINI MART & DELI & GAS* �
<br /> 4511 PACIFIC AVE
<br /> STOCKTON CA 9520.7
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