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<br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT,?
<br /> �n 600,E,Main St. • Stockton,CA 95202-3029 • Phone(209)468-3420 x4 - e
<br /> Donna Heran,R.E.H.S., Director
<br /> ENVIRONMENTAL HEALTH u
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> h' PERMIT TO OPERATE
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<br /> Program Permit
<br /> Permit
<br /> Record ID Number Program Code and Description
<br /> Valid
<br /> PR0518565 PT0012106 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2009 To 12/31/2009
<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 seq,and Title 22,California Code of Regulations,Chap.20 �a Y
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<br /> PR0231488 2300-UNDERGROUND STORAGE TANK FACILITY 1/9%2009 To 12/31/2009
<br /> Underground Storage Tank Program:
<br /> California Health and SafetyCode, Div.20,Cha 6.7 and Title 23,California Code of Regulations Chap. 16
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<br /> ---k# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> n 2362 3 390002314880507895 PT0009378 6,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 4 390002314880507896 PT0009379 6,000 DIESELActive,billable DOUBLE WALLED',*-[ Continuous Interstitial Monitoring
<br /> 236 5; 89Q Q23, {k80507897 PT0009380 42 0 REGULAR UNLEADED Active,billable DouB1 JNALlEt1^? Continuous Interstitial Monitoring
<br /> Underground Storage Tank Permit Conditions
<br /> 1) The Permit to Operate will become void if Annual Permit Fees and Service Pees are not paid and/or the UST system(s)fails to remain in compliance wiRlt 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 1(tlttd 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;$e Permittee shall ensure that both
<br /> the Tank Owner and tank Operator receive a copy of the permit. 2 w.
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<br /> 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Department,(EHD)and are considererd LIST 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. k ,
<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,andP"
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<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. rtP
<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
<br /> revocation. xE•{r ;
<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 Permittee 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: s`
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<br /> PERMITS TO OPERATE are NOT TRANSFERABLE , ••
<br /> and may be SUSPENDED or REVOKED for cause.
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<br /> s 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
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<br /> Regulated Facility: H & M MARKET* ~Y 3 `" Facility ID FA0003910
<br /> 2501 JACKSON AVE Account ID AR0003500 � �� '
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<br /> ESCALON CA 95320 K t X„ Issued 2/4/2009
<br /> Billing Address:
<br /> H & M MARKET*
<br /> 2501 JACKSON AVE
<br /> ESCALON CA 95320
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