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M 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 />ENVIRONMENTAL HEALTH <br />SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br />PERMIT TO OPERATE <br />Permit <br />Program Permit Valid <br />Record ID Number Program Code and Description <br />PRO518430 PT0012017 2220 - SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2003 To 12/31/2003 <br />Hazardous Waste Generator Program: <br />California Health and Safe Code, Div. 20, Chap._6.5, Art. 2-13, Sec. 25100 et seq, and Title 22,_Califomia Code of Regulations, Chap. 20. <br />------------------------------ - ---- ---------------Q ---- <br />PR0231127 2300 - UNDERGROUND STORAGE TANK FACILITY 1/1/2003 To 12/31/2003 <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 />2360 8 390002311270508152 N I UUM)001 a,UUv PREMIUM UNLEADED Active, billable DOUBLE WALLED continuous Interstitial Monitoring <br />2360 7 390002311270508151 PT0009560 8,000 <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. 6.7 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 />11) M&%1& Q$rn, 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 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 />Regulated Facility <br />Billing Address: <br />7023.rpt <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: <br />DBA: <br />Tank Owner: <br />PAKZAD,FRED <br />BEACON (PARKWOODS) <br />FRED PAKZAD <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />PARKWOODS BEACON* <br />1612 W HAMMER LN <br />STOCKTON, CA 95209 <br />PARKWOODS BEACON* <br />1612 W HAMMER LN <br />STOCKTON, CA 95209 <br />Facility ID FA0003611 <br />Account ID AR0003189 <br />Issued 5/1/2003 <br />