SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DE
<br /> PARTMEN'Ir
<br /> 600 E. Main St. • Stockton,CA 95202-3029 • Phone(209)468-3420,
<br /> Donna Heran,R.E.H.S.,Director m
<br /> . X C
<br /> ENVIRONMENTAL HEALTH
<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 /> PRO518745 PT0012192 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1!2009 To 12/31/2009
<br /> Hazardous Waste Generator Program:
<br /> In order to maintain the permit to operate,Hazardous Waste Generators shall comply with Californla Health and Safety Code,Div.20,Chap.6.5,Art.2-13, x
<br /> Sec.25100 et seq,and Title 22,California Code of Regulations,Chap.20_ ,
<br /> -------- - --------- - �-
<br /> PR0231497 2300-UNDERGROUND STORAGE TANK FACILITY 1/1!2009 To 12/31/2009,
<br /> Underciround Storage Tank Program: ,
<br /> California Health and Safety Code,Div.20,Chap.- -6.7 and Title 23,California Code of Regulations,Chap 16
<br /> Y -----
<br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2362 4 390002314970507899 PT0009382 13,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 5 390002314970507900 PT0009383 7,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> Underground Storage Tank Permit Conditions
<br /> r
<br /> I) 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. :C
<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,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 /> "s the Tank Owner and tank Operator receive a copy of the permit t
<br /> r 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 /> .
<br /> 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 P
<br /> M:
<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 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 i4il jb'prior to any change,repair or removal of UST system equipment. z
<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 permit. i u'
<br /> 13 This Permit to Operate shall not be considered
<br /> p permission to violate any laws,ordinances or statutes of any other Federal,State or Local agency. t �
<br /> 14) A"Conditional"Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated-,
<br /> I
<br /> Z- 4
<br /> r
<br /> PERMITS TO OPERATE are NOT TRANSFERABLEs
<br /> c and may be SUSPENDED or REVOKED for cause. `41 ,T
<br /> PERMIT(s)Valid only for: SINGH, BALWINDER
<br /> DBA: ESCALON MINI MART ,
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> �Z Regulated Facility: ESCALON MINI MART Facility ID
<br /> e r x �> w y FA0000279 '
<br /> s 1097 YOSEMITE AVE rt r `t x�r' "" "' � ra
<br /> Ext + �4 r a y i Jr , 1 4�� M Account ID AR0008693
<br /> i .F :
<br /> a , 1 ESCALON CA 95320 Ys L.,Ott Issued 2/4/2009
<br /> s•� -tib a �% tx. r c r ° r -
<br /> e tr ,,..?, •b��, t' r �'=1 '""«.s''. '. `'�,zS ^� ,� ++-kph
<br /> ,t'; $ly9`'.'�,
<br /> �.I Billing Address: �'"���'-i ' t :u.,„y. �ty-_vi Y•a�" s}xt�` -:'raa�cY sx� 'S4��� '%
<br /> maCm-
<br /> ~, x ESCALON MINI MART r }F � -'S �_�
<br /> 1097 E YOSEMITE AVE ' z "fit _ �r '.
<br /> f 1• z:. '�Sa
<br /> tj,+` G`�j r' � d *rf r ' 7
<br /> ESCALON CA 95320-1671 r '' r r � . �'L»* artr" � fi
<br /> 4.
<br /> r Y���Ax.�.'...r'�?'_4.:;.''h Y$`'��a.�.?_�".I-'.,p�-gy-f'aarm�r:ai�n�,,.t'+.i.n.?.,t".a'+-C..`".�_4`'\;.k";Ct�.M`,i`.^.a��nvEr+''':+�"F,;fi�s.�s:_ww�,:`•,���;-.�C.,.;.}�`
<br /> 3'a „�+YH'�i�.wx°i;.�A.«.-.o,,:=}�.f,.Gg9r�.d:paz.'r a-.,_'�.s+:i.7,s� e`+r+�„•a,.e;,4i:Stv�,�,6p^.xy.',::s`�rc�'yer#3a�'kvs.„��'ie�,,',r�,",�''is.t,;,,,nai`w-.+#';i:,4"';':'�';y,�p-'E'x.,,,�»„.�•',�'�'�:t:..::..+x�y`,ycKM�rds<^�p�:5.`t". ''.•,,.�h :",`?i��-iey"y X.�*',a-a w,a:.•;t*y'a�-�'��*,n"'.'r3�_xx,�^.�'.e�J'£5.s;,-a�..r,µt3-'�}t•y'.*-�a�-``a����',�.'`<�S.�r�'"k'A.��+3.'.x�.43.,,C�s,>,r`.'l.���.�,'�, Ivy
<br /> n"$f�:eVr;, ' ��r ` a'b.*%#s'aC^
<br /> q��
<br /> «s
<br /> �
<br /> �,,.c� ✓^,." ' a}�. °::a <r�},� ,a fi3 i r?+,k�.,, s ,y. �r r�rk^e � �. g {��.,a ..�r3a.3r<w•'�,-�rlt':r :�.�.y'q� .�+ ,r +s'fi �.i
<br /> ~. .3�1 `..j % � 'S. t `rs �• <S, $k �'�+ Y >rY-`S ': S'7 ..�., i-'. V f "^: 1 fn.
<br /> c , ..... f ,.._..• x. _..v ,. n�:. �. ,i� � - ,_c. ._. .-,1-u .:�"`�"<.«"�_ *�....,. �. '»�..�, ,, � m>._ »h r _�.v., + r_
<br />
|