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<br /> SAN JOAQU11 OUNTY ENVIRONMENTAL HEALT EPARTMENT
<br /> R ! 600 E. Main St. • Stockton CA 95202-3029 • Phone(209)468-3420
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<br /> Donna Heran,R.E.H.S.,Director
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<br /> ENVIRONMENTAL HEALTH > r =
<br /> 5 SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE ;
<br /> Program Permit Permit
<br /> Record ID Number Program Code and Description
<br /> Valid
<br /> PR0518565 PT0012106 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2010 To 12/31/2010
<br /> Hazardous Waste Generator Program: s
<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_
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<br /> PR0231488 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2010 To 12/3112010.
<br /> Underground Storage Tank Program:
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<br /> California Health and Safety Code, Div.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 3 390002314880507895 PT0009378 6,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 4 390002314880507896 PT0009379 6,000 DIESEL Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 23Q ,• ;, ,.,,„',,3.22M, 14880507897 PT0009380 12,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
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<br /> Underground Storage Tank Permit '
<br /> If 'x i 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 /> I I 2) In order to maintain the operating pennit,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 /> brt. established by San Joaquin County.
<br /> r 4, a`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 /> 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.
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<br /> The Permittee shall comply with the monitoring procedures referenced in this permit `
<br /> pit,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 /> 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 /> a 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
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<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 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 + I `
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<br /> I4) A Conditional:)'mmlt may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated
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<br /> PERMITS TO OPERATE are NOT TRANSFERABLE,.,..111
<br /> and may be SUSPENDED or REVOKED for cause. , e . '• `'' t '
<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 /> {kf Regulated Facility: H & M MARKET* `t x y{ � {I ) x+'�� y FA0003910
<br /> Facilit ID
<br /> ire asY 2501 JACKSON AVEi � aa4 Account ID
<br /> AR0003500,
<br /> ESCALON CA 95320 Issued 2/10/2010
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<br /> r �� Billing Address.
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<br /> H & M MARKET* ta`t
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<br /> gra 2501 JACKSON AVE
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