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Vol I
<br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br />304 E. Weber Ave., -Third. Floor • Stockton, CA 95202-2708 a Phone (209) 468-3420
<br />Donna Heran, RE.H.S., Director
<br />k1WF'IE` LVALENCY
<br />SAN J91Q1AUNIFI
<br />PERMIT, TO OPERATE
<br />Program Permit Permit
<br />Record ID Number Program Code and Description Valid
<br />PROSIB565 PT0012106 2220 - SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2005 To 12/31;2005
<br />'
<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 se, and Title 22, California Code of Regulations, Chap. 20_ --------- - ----------------
<br />---------------------• s
<br />PR02312300 - GROUND STORAGE TANK FACILITY 1h/2005 To 12/31/2005
<br />UndearounT d Storage Tank Program:
<br />' is Health and Safety Code, D_ , hap. and Title 23, California Code of Regulations, Chap_ 16_----------
<br />rP%E. Tank # Tank Record ID Permit # Capacity Contents Permit Status System Type Leak Detection
<br />2362 3 390002314880507895 PT0009378 PREMIUM UNLEADED Active, billable DOUBLE WALLED Continuous Interstitial Alcnitoring
<br />.6,000
<br />2360 4 390002314880507896 PT0009379 6,000 DIESEL Active, billable DOUBLE WALLED Continuous Interstitial Monitoring
<br />2360 5 390002314880507897 PT0009380 12,000 REGULAR UNLEADED Active, billable DOUBLE WALLED Continuous Interstitial Alonitoring
<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) 11,.e 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) Whitten 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 />1 1) Conshaction, repair and/or removal permits are required from the EHD prior to any change, repair or removal of UST system equipment.
<br />12) The Pennittee 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 maybe 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: B & W PETROLEUM
<br />DBA: KWIK SERVE (B&W PETROLEUM)
<br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br />Regulated Facility: H & M MARKET
<br />2501 JACKSON AVE
<br />ESCALON, CA 95320
<br />Biiling Address:
<br />H & M MARKET
<br />PO BOX 576277
<br />MODESTO, CA 95357
<br />Facility ID FA0003910
<br />Account ID AR0003500
<br />Issued 211012005
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