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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH *ARTMENT
<br /> 304 E.Weber Ave.,Third Floor•Stockton,CA 95202-2708• Phone(209)468-3420
<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 Permit
<br /> Valid
<br /> Record ID Number cri
<br /> PRO521291 PT00143 2 2220--19MALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 5/19/2003 To 12/31/2003
<br /> Hazardous Waste Gener Pro ram:
<br /> California Health and Safety Code,Div20,Cha .65,Art.2-13,Sec.25100 et seq,and Title 22,California Code of Regulations,Chap._20_........................
<br /> ------------------------------------------------ ---------------------------------------------------- - - -
<br /> PR0231764 2300-UisibtOROUND STORAGE TANK FA 5/19/2003 To 12/31/2003
<br /> Underground Storage Tan M:
<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 4 390002317640506375 PT0008806 12,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 5 390002317640506376 PT0008805 6,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 6 390002317640506377 PT0008804 6,000 DIESEL Active,billable DOUBLE 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 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 /> 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 die Environmental Health Department(EHD)and are congidererd UST Permit Conditions. The approved
<br /> 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 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 /> 7P
<br /> in the event of a spill,leak,or other unauthorized release,the Petmitee shall comply with the requirements of Title 23 CCR,Chap.16,Art.5,and the approved Emergency Response Plan.
<br /> and be available for inspection fora period of at least three years from the date the monitoring was
<br /> Written records of all monitoring Pe P
<br /> 8 g Performed shall be maintained on-site by the operator
<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,desibm 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 /> 1 I) Led'&9&glbNrepair and/or removal permits are required front the EHD prior to any change,repair or removal of UST system equipment
<br /> 12) The Permittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the anniversary 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 Local agency.
<br /> 14) A"Conditional'Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated.
<br /> PERMITS TO OPERATE are NOT TRANSFERABLE
<br /> and may be SUSPENDED or REVOKED for rause.
<br /> PERMIT(s)Valid only for: , PHALWINDER/M &KA S
<br /> DBA: ATERLOO GAS & LIQUOR MART
<br /> Tank Owner: ORLA
<br /> THiS FORM MUST BF,DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility: ATERLOO GAS & LIQUOR MAR Facility ID FA0002160
<br /> 5611 WATERLOO RD Account ID AR0002171
<br /> STOCKTON, CA 95215 Issued 7/10/2003
<br /> Billing Address: ATTN : PHALWINDER SINGH & L KAUR
<br /> WATERLOO GAS & LIQUOR MART
<br /> 5611 WATERLOO RD
<br /> STOCKTON, CA 95215
<br /> t
<br /> 7023.rpt
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