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<br /> SAN JOS QUI , ,.OUNTY ENVIRONMENTAL HEALTH. EPARTMENT �� a
<br /> 1868 E. Hazelton Ave. • Stockton,CA 95205-6232 Phone,(209)4(i8-3420 "
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<br /> Donna Heran,R.E.H.S.,Director41
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<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> t Program Permit Permit I
<br /> Record ID Number Program Code and Description Valid
<br /> PRO521759 PT0014706 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 11/27/2012 To 12131/2012 t
<br /> Hazardous Waste Generator Program:
<br /> In order to maintain the arp mit to operate, Hazardous Waste Generators shall comply with California Health and Safety Code,Div.20,Chap.6 5,Art.2-13 x
<br /> Sec.25100 end Title 22,California Code of Regulations,Chap.20_
<br /> q ----------- ----- 0 ------- -------- ----------- ------------- --------- --------- --------
<br /> PR0231092 2300-UND6GROUND STORAGE TANK FACILITY 11/27/2012 To 12/31/2012
<br /> U6derground ram
<br /> California Health and Safety Code, Div.20, Chap.6.7 and Title 23,California Code of Regulations,Chap_16. ----------_---____
<br /> - .---- - ---- ------------ ---- -------- ----- ------------------------------------------- ----
<br /> P/E Tank# Tank Record 1D Permit# Capacity Contents Penntt Status System Type Leak Detection
<br /> 2362 5 390002310920515512 PT0011052 3,000 PREMIUM UNLEADED Active, billable DOUBLE-WALL Continuous lnterstitialMonitoring
<br /> 2360 6 390002310920515513 PT0011053 9,000 REGULAR UNLEADED Active, billable DOUBLE-WALL Continuous Interstitial Monitoring
<br /> OOE'Ip#: PENDI,NG
<br /> Underground Storage Tank Permit Conditioner
<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 I-
<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 /> 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 /> 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. a
<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. I
<br /> 9) The EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change. q 't
<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 C '
<br /> revocation. 4, y
<br /> 11) Construction,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment. sa
<br /> 12) 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 /> 13) A"Conditional"Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated. n s
<br /> ------' ---------- ----------' - --- ------- -------- - --- --------------- --- ----- a.�E3.tir +v,�t,-='•fir, a.,
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<br /> PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s) Valid only for: MUTHANA, AREF .s
<br /> Tank Owner: MOHAMAD S MATAR
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<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> 24 HR GAS & MART Facility ID FA0001946
<br /> Regulated Facility: Account ID AR0001954 a
<br /> 1901 S EL DORADO ST :
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<br /> Issued 11/28/2012
<br /> TOCKTON CA 95206
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<br /> Billing Address: ATTN MUTHANA, ARE
<br /> 24 HR GAS & MART
<br /> 1749 S CALIFORNIA ST
<br /> STOCKTON CA 95206
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<br /> 7023.rpt
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