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SAI UIN COUNTY PUBLIC HEAL %RVICES 304 E.WEBER AVE.,THIRD FLOOR STOCKTON,CA 95202 PHONE(209) 468-3420 va 3 KAREN FURST, M.D., M.P.H., HEALTH OFFICER DONNA HERAN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Program Permit Record I D Number Program Code and Description ennit Valid ry PR023109 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/00 To 12/31/00 Underground Storage Tank Program: California Health and Safety Code Div.20,Chap.6.7 and Title 23 California Code of Regulations Chap. 16. ME lankli I ank ReTOM-11) ernm apace y C on ens Pernin Status System I ype Active DOUBLE:WALLE _7 2360 5 390002310920515512 PT0011052 3,000 PREMIUM UNLEADED Active DOUBLE WALLED BOE ID#: 44-024533,; Underground Storage Tank Permit Conditions 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 ? j these Permit Conditions. x ey, 2) Lt order to maintain the operating permit,the permit holder shall comply with the I I&S Code,Div.20,Chap.6.7 and 6.75;and CCR,Title 23,Chap. 16 and t 18,as well as any conditions established by San Joaquin County. Jr „' 3) If the Tank O erator(s)is different from the Tank Owner,or if the Permit to Operate is issued to a person other than the owner or operator ofthe tank,the Y'� Permittee shall ensure that both the Tank Owner and tank Operator receive a copy of the permit. W 4) Written Monitoring Procedures and an Emergency Response Plan must be appproved by the Environmental Health Division(PHS/EHD)and are considererd UST Permit Conditions. Copies of the Procedures and Emergency Response Plan must be attached to this permit or be available for review and/or inspection I at the�UST site. 29 5) he l'erimnttee shall comply with the monitoring procedures reterrenced in this permit. 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 provide documentation ofsuch servicing to this office. 7) In the event of a spill,leak,or other unauthorized release,the Pemhitee shall comply with the requirements of Title 23 CCR,Chap. 16,Art.5,and the approved Emergency Response Plan. a S) 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 yearstK from the date the monitoring was performed. 9) The PHS/EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change. 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 revocation. t 11) Construction,repair and/or removal permits are required from the PHS/EHD prior to any change,repair or removal of UST system equipment. e 12) The Permittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the anniversary date ofthe issuance of this permit. f 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. 14) A"Conditional”Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated, x PERMITS TO OPERATE are NOT TRANSFERABLE t and may be SUSPENDED or REVOKED for cause. PERMIT(s)Valid only for: SOHAL, AVTAR K k I DBA: QUICK N SAVE/SOHAL MARKET R F Tank Owner: AVTAR K SOHAL THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES Regulated Facility: QUICK N SAVE*/SOHAL MARKET Facility ID FA0001946 a 5 1901 S EL DORADO ST Account ID AR0001954 _. to STOCKTON, CA 95206 Issued 10/24/2000 2,11 s Vit; Billing Address: ATTN : SOHAL, AVTAR K QUICK N SAVE*/SOHAL MARKET 819 NEW HALL CT . . w STOCKTON, CA 95210 7023.rpt ri