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SAN JOAQUIN COUNTY ENVIRO"' I ? A�JUALTH DEPARTWII - - <br /> 6001; Maim>,St. • Stockto4,CPQ,9$02-3029 Phone(2Q9}4683420" <br /> 'Don A,11`10>• n;,R, ID'S., Director s <br /> M1 11 <br /> ENV IRONMO TAUE;A,�,T <br /> SAN JOAQUIN COUNTY' T <br /> IFIf p JWWD'.rIKOCR&M AG NCY <br /> AEItIVtIT T66' ro <br /> Program Femiii- r Portitit <br /> R�ordib Number' Pi", Code it d Pescrip ion " <br /> 1!alid, <br /> ,PR051,13530 RTQ6119Q49 ;AZO SMALL QUANTI7<YHAZARDOUS WASTE GERERATOR"FACII-ITY 1)1/2011 To 12)31/2011 <br /> .Hazardous Wase ert"idr Proaram <br /> In order to maintatn'the permit tq operate,'Hazardous Waste Generators"shall Comply with Califorrna Health arls'Safety Codei.Riv.20,Chap.6.5,Art <br /> Sec.25100 et se r Ifornla:Code of Regulations Chap 20 _ ,^ _ <br /> Pf20 11 > 280Q UERGROUNQSTORAfE'TANKFACILITY 1/U20(1To 12/31/2Q11 <br /> Undertxiound S,ttotat, I fa Fam: <br /> California Healfh and Safety Coda Dm 20 Chap.6 7 and Title 23 Galtfortlta Code of Re ula to s_Cha 1G T <br /> /E T, Tank Recoxd Ip Permit# rapacity Gonterts PertTiit Status System Type Defection <br /> 2362 4 $90002319140505682 PT0008228 3Q;000 '. GtILAFhtINt FY�g6i� "loch t3;billable DOUBLE WALLEDstiUal Monitoring <br /> 2360 5 3�9Q0Q 318110505683 PT0008226 '5;000. "PREMIUM 4NLF.ApED '`�etive,'billable,." 0608LE WALLED C-"inyous lnletslitim Monitoring <br /> 2360 6 39Q0023191.10505684 PT0008227 "_5;000 R(E8E>a Aotiye,Billable i;' DOUBLE WALLED :Cpntiii- Onterstitial;Monitoring <br /> Undergrogadi Sxot age Tank Perlp t:Conditions <br /> 1) The Permit to`3perate will becott}eltgid if Annual ermi <br /> Pt Fees and S' P?e a notpaidaad/pr the USLt:system(s)falls to nett n3n compliance with WesaPgnnit Candittons <br /> 2) In 44yF to plaiiitatn.the operating pe(mif,'tlte owner and operatpr shall comply with the H�.S_Code,piv.20,Chap:.6,9 -1751and SCR;Title 23;Chap 1,4 and lg,as wets CoutlittPn3; <br /> esta[rli�ietl'by�San Joagain County. <br /> 3) II the-Tank Operatgr(s)is different"ftom the Tank Off,or ifthe)'ermU to Operate is issued to p;pgrsott ot(ier titan the'owAr r gropprator of the tank,the Fermijt®e sill et�snrei a#both <br /> the Ttink Owner and tank Operator''receive a copy of the;petritit. <br /> 4) Written Monitoring Procediues and an Emergency Respeti 61 must be approved by the Environmental health]DgpaT�rttent(EHD)and are considererd LIST Fongit Qnotious.-The t�proveel <br /> monitoring,response,and plot plans shall be maiptajnedonst(e.IV tite permit. <br /> k <br /> 5) The Fermis shall comply with the motutdri4gproCedtyree M%rqu40 in this permit <br /> 6) The Permittee shall perform testing and preventi*maintdowe on all leak4%cictigt�m9nutpring egwpmeutBWttinlly,or`ruote frrg00aft �t�.4�etfiCtt'1)y Oip ggWpdn4 manufactum ai <br /> provide documentation of such servicing to this <br /> r <br /> 7) In theevent of a spill,leak lir otlteF;iytauttiotjzxiJI tjsc tiAY,t Pei itee sltali ditrtiply{with the require[[[[rt;s of -t(q 3',C DR,,i chap 16 AtL#5 and the approvettE ietgenc [ 3pgnstt F1aA <br /> 8) Written records of all momtortPg petformed 7ta11 be ins nta)ned tm-site by the operator and be available for iiisp¢ctton-for aperiod of atleast three years from ttieilate,tltc mpnftott0 Wes <br /> a , <br /> 9) 11i EkIR Sltall tae ngttfed pf aity gbflng4 m o�yriers6ip or operahon:of-ilte llSTaystem within SOdays of aucli.citaiige , <br /> 1 <br /> € 10) ticin any°have in equiptnept,design or Operaputt of the UST system(incctuding thango to tank"eotttcnta or)isapej [Fre Perrot[to(5pe�ate vy(>e gtlijecYto revtery mod[tioatiop ur <br /> revgcapon <br /> 11), Cogstruciwn repair ander removal permits aseregturgc}.from the EHD prior to aiiy chaztge,tepatr or.rgpgovai of USP system egwpmettt <br /> 2) The Perm4tee talisubrnit:'a6 annual report documeanng eomphance i tth°the.U$T Partnit Corlthttpns tnth>}t 30days oft ililite of the issuaoceo£this 4e17mt, <br /> 49) ks pe rmit tti`0*e io shad not be considefed passion to viol. 'spy laws,afdtna i or statittog Pf any other Federal,State w.ocdt•agency <br /> 14) A Condtuonal"Fermrt maybe revoked[f cotreet}onsspSc[ti4oit thg ntspection report an',-eat Completed by the dates) mShcated. <br /> ---r- - <br /> r <br /> t r,2 <br /> 77 <br /> w <br /> F ITS` 'b QP 'E Iayy,be SUSPPNDED.ox REPO fQrca <br /> P. <br /> tise�• <br /> PERM{'Esq�l�fjtl Ally_for. SA�tQHIS fOD & LIQUOR STORE LLC <br /> THIS FORM MUS'p•" 16jsPLAYED CONSPICUOUSL^P�k!tTf1E PREMISES <br /> R@gulatP <br /> " COUNTRYSIO MINI MART Facility ID F/#Q Q <br /> ed Faality. <br /> 14971 <br /> N HWY 8$ Account ID A00005 <br /> LODI G-A"9S24q; Issued 2/412411,1w <br /> Billing Address. <br /> COUNTRYSIDE MINI MART <br /> 19971 W= HWY 88 <br /> LODI CA 95240 ` <br /> 8 yJ, h <br /> , <br /> , <br />