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<br /> r� SAN JOAQUL T COUNTY ENVIRONMENTAL HEALTH DEPARTMENT '
<br /> 1868 E. Hazelton Ave. • Stockton,CA 95205-6232 • Phone(209) 468-3420
<br /> 4`' F,,'' r 7k
<br /> Donna Heran,R.E.H.S.,Director °
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit Pen-nit
<br /> Record ID Number Program Code and Description Valid
<br /> PRO518745 PT0012192 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2013 To 12/31/2013
<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 /> Sec.25140-et seq and Tit+e ,- fornia Code of Regulations,Chap.20_ -
<br /> --- - - ---------------- --- - - - - - - - ------- ----- -----------------------------------------------------------------------------------
<br /> PR0231497 2 DERGROUND STORAGE TANK FACILITY 1/1/2013 To 12/31/2013
<br /> __ k P
<br /> arrogram:
<br /> California-H- and Safety Code, Div.20,Chap.6.7 and Title 23,California Code of Regulations,Chap._16_ ____---- _
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<br /> ----------------------
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<br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Typee Rectton
<br /> 2362 4 390002314970507899 13,000 REGULAR UNLEADED OUT OF COMPLIANCE-No Permit
<br /> 2360 5 390002314970507900 7,000 PREMIUM UNLEADED OUT OF COMPLIANCE No Permit
<br /> BOE ID#: 44039786
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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 compliance with these Permit Conditions.
<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 /> r 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 /> R monitoring,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 Pennittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently if specified by the equipment manufacturer,and
<br /> i 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 `x
<br /> performed. ,)91� qm
<br /> 9) The EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change. a 3
<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 = r
<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. _' a a �; ' 7
<br /> 12 This Permit to Operate shall not be considered permission to violate an laws,ordinances or statutes of an other Federal,State or Local a enc t s F
<br /> P P Y Y
<br /> 13) A"Conditional'Permit maybe revoked if corrections specified on the inspection report are not completed by the date(s) indicated. � � t• a M rr
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<br /> PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s)Valid only for: SINGH, BALWINDER
<br /> DBA: ESCALON MINI MART
<br /> Tank Owner: BALWINDER SINGH
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> ESCALON MINI MART Facility ID FA0000279
<br /> Regulated Facility. 1097 YOSEMITE AVE Account ID AR0008693
<br /> ESCALON CA 95320 Issued 11/19/2013
<br /> Billing Address:
<br /> ESCALON MINI MART
<br /> 1097 E YOSEMITE AVE
<br /> ESCALON CA 95320-1671
<br /> 7023.rpt
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