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<br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br />304 E. Weber Ave., Third Floor • Stockton, CA 95202-2708 • Phone (209) 468-3420
<br />Donna Heran, R.E.H.S., Director
<br />SAN JDMWI AIEII IIfiLFIED`FKIJD'itA tENCY
<br />PERMIT TO OPERATE -_
<br />Program Permit Permit
<br />Record ID Number Program Code and Description Valid
<br />PRO618430 PT0012017 2220 - SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2005 To 12131/2005
<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_ 25100 et _ is Code of Regulations, Chap. 20.
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<br />PR02 27 2300 - UNDE ROUND STORAGE TANK FACILITY 1/1/2005 To 12/31/2005
<br />Un r round Stora a Tank Program:
<br />C ria Health e,__ iv_ 20, Chap._6.7_and-Title 23, California Code of Regulations, Chap. 16.
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<br />P/E Tank # Tank Record ID Permit # Capacity Contents Permit Status System Type Leak Detection
<br />2362 6 390002311270508150 _ PT0009559 .12,000 REGULAR UNLEADED .Active, billableg
<br />DOUBLE WALLED Continuous Interstitial Monitoring
<br />w 7360 7 390002311270508151 PT0009560 8,000 PREMIUM UNLEADED Active, billable DOUBLE WALLED Continuous Interstitial Monitoring . .
<br />2360 8 390002311270508152 PT0009561 4,000 DIESEL Active, billable DOUBLE WALLED Continuous Interstitial Monitoring
<br />8 _
<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 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.
<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 the EHD prior to any change, repair or removal of UST system equipment.
<br />' 12) The Petmittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the 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 />ur
<br />PERMITS TO OPERATE are NOT TRANSFERABLE
<br />and may be SUSPENDED or REVOKED for cause.
<br />PERMIT(s) Valid only for: PAKZAD, FRED
<br />DBA: BEACON (PARKWOODS)
<br />Tank Owner: FRED PAKZAD
<br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br />Regulated Facility: PARKWOODS BEACON* Facility lD FA0003611
<br />' 1612 W HAMMER LN Account ID AR0003189
<br />STOCKTON, CA 95209 Issued 2/10/2005
<br />Billing Address:
<br />PARKWOODS BEACON*
<br />1612 W HAMMER `LN
<br />STOCKTON, -CA 95209
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