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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br />304 E. Weber Ave., Third Floor • S01kron, CA 95202-2708 • Phone (209) 4613-3,120
<br />Donna Heran, RE.H.S., Director
<br />ENVIRONMENTAL HEALTH
<br />SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br />PERMIT TO OPERATE
<br />Program Permit Permit
<br />Record ID Nwnber Program Code and Description Valid
<br />PR0518430 PT0012017 2220 - SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2004 To 12/31/2004
<br />Hazardous Waste Generator Program:
<br />In order to maintain the permit to operate, Hazardous Waste Generators shall comply with Califomia Health and Safety Code, Div. 20, Chap. 6.5, Art. 2-13,
<br />Sec. 25100 et seq,_ and Title 22, California Code of Regulations, Chap._20:
<br />-------- ----------------------- --
<br />PR0231127 2300 - UNDERGROUND STORAGE TANK FACILITY 1/1/2004 To 12/31/2004
<br />Underground Storage Tank Program:
<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 Pe= -t Status System Type Leak Detection
<br />2360 8 390002311270508152 PT0009561 4,000 DIESEL Active, billable DOUBLE WALLED Continuous Interstitial Monitcring
<br />2360 7 390002311270508151 PT0009560 8,000 PREMIUM UNLEADED Active, billable DOUBLE WALLED Continuous Interstitial Monitoring
<br />2362 6 390002311270508150 PT0009559 12,000 REGULAR UNLEADED Active, billable DOUBLE WALLED Continuous Interstitial Monitoring
<br />Underground Storage Tank Permit Conditions
<br />I ) 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. 6.1 and 6.75; and CCR, Title 23, Chap. 16 and 18, as well as any conditions
<br />established by San Ioaquin County.
<br />3) If the Tank Operators 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 Emironmental 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 documentaron 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 inspecrion 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 us -age). the Permit to Operate will be subject to review, modification or
<br />11) I�'tRffi`&i9lbn, repair and/or removal permits are required from 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 date of the issuance of this pennit.
<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 cause.
<br />PERMIT(s) Valid only for: PAKZAD, FRED
<br />DBA: BEACON (PARKWOODS)
<br />Tank Owner: FRED PAKZAD
<br />THIS FORA MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br />Regulated Facility PARKWOODS BEACON* Facility ID FA0003611
<br />1612 W HAMMER LN Account ID AR0003189
<br />STOCKTON, CA 95209 Issued 4/1/2004
<br />Billing Address:
<br />PARKWOODS BEACON*
<br />1612 W HAMMER LN
<br />STOCKTON, CA 95209
<br />7023.rpt
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