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C ENVIRONMENTAL HEALTPI�EPARTMENT
<br /> ,.AN JUA UIiv�UNTY ENVIRO
<br /> 600E Main St. • Stockton, CA 95202-3029 • Phone(209)468-3420 x1
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<br /> fp Donna Heran,R.E.H.S.,Director ,"
<br /> ENVIRONMENTAL HEALTH
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<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit
<br /> Permit
<br /> Record ID Number Program Code and Description Valid
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<br /> PR0521562 PT0014549 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2010 To 12/31/2010
<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,Art.2-13,
<br /> `j Sec.25100 et se arid Title 22,-California Code of Regulations,Chap._20,_ _______________________________________ __ ______
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<br /> ' PR0231401 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2010 To 12131/2010
<br /> t Underground Storage.Tank Program:
<br /> California Health and Safety Code,Div_20,Chap.6.7 and Title 23,California Code of Regulations,Chap_ 16
<br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2362 5 390002314010140105 PT0004348 10,000 DIESEL Conditional DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 6 390002314010140106 PT0004349 10,000 REGULAR UNLEADED Conditional uy DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 23F . I ,,,m ; Q 314010140107 PT0004350 10,000 PREMIUM UNLEADED Conditional ;ROUBLE WALLED Continuous Interstitial monitoring
<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 compliance with these Permit Conditions.
<br /> 2) In order to maintain the operating pennit,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
<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 /> monitoring,response,and plot plans shall be maintained onsite with the permit.
<br /> i) The Permittee shall comply with the monitoring procedures referenced in this pennit • x ) 3�=' r °�'` , ` �- a� �, ,`5- `wl--
<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 three years from the date the monitoring was
<br /> performed.
<br /> 9) The EHD shall be notified of guy change in ownership or operation of the UST system within 30 days of such changes a F- a f tw
<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. =fC +rA j 3
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<br /> 12) 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 permt.
<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.x �
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<br /> 14) A"Conditional"Permit maybe revoked if corrections specified on the inspection report are not completed by the date(s) indicated.. s§§
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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: PATEL, MAHESH
<br /> DBA: KWIK SERVE
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility: KWIK SERVE } t a ��.y 7
<br /> � m Faculty ID FA0006388
<br /> . 950 W 11TH ST �(� p 1 � '` � A—untID AR0007834
<br /> ,;.TRACY CA 95376 y � kf �� k
<br /> a. Issued 2/10/2010
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<br /> TRACY CA 95376
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