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<br /> 3 • SAN JOAQIN
<br /> UIIv COUNTY ENVIRONMENTAL HEALTH DEPARTMENT i
<br /> 600 E. Main St. • Stockton, CA 95202-3029 • Phone(209)468-3420
<br /> Donna Heran,R.E.H.S., Director r "
<br /> }
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit Per
<br /> Record ID Number Program Code and Description r Valid
<br /> PRO518530 PT0012082 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2009 To 12/31/2009
<br /> Hazardous Waste Generator Proqram:
<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,Cha .20
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<br /> R0231911 2300,-UNDERGROUND STORAGE TANK FACILITY 1/1/2009 To 12/31/2009
<br /> -Cttlderq_round Storage Tank Program
<br /> California Health and Safety Code, Div.20,Chap.6.7 and Title 23,California Code of Regulations,Chap 16 4 _
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<br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2362 4 390002319110505682 PT0008228 10,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> ` 2360 5 390002319110505683 PT0008226 5,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> r 2360 6 390002319110505684 PT0008227 5,000 DIESEL Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> t o t'�.t.�'„ e -
<br /> nderground Storage Tank Permit Conditions z
<br /> 1) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid and/or the UST systems)fails to remain in compliance with these Permit Conditions.
<br /> 2 In order to maintain the operating
<br /> p g permit,the owner and operator shall comply with the H&S Code,Div.20,Chap.6.7 and 6.75 anp CCR,.Title 23,Chap.16 and 18,as well as any conditions
<br /> established by San Joaquin County.
<br /> a. ) 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 /> r - 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 /> G 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. a
<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 willbe subjecfto review;mo4rfication or-
<br /> revocation.
<br /> r 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 taws,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
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<br /> PERMITS TO OPERATE are NOT TRANSFERABLE
<br /> and may be SUSPENDED or REVOKED for cause art
<br /> PERIll Valid only for: SANDHU FOOD & LIQUOR STORE LLC
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility: COUNTRYSIDE MINI MART,-"M.,
<br /> FacilityID tWs u yFA0000540
<br /> kF
<br /> Account ID
<br /> 14971 N HWY 88 ��
<br /> AR0000539
<br /> a, vs . ` LODI CA 95240 . _ Issued 2/4/2009
<br /> Billing Address: Y
<br />" s COUNTRYSIDE MINI MAR' ` S
<br /> 14971 W HWY 88
<br /> 1
<br /> LODI CA 95240
<br /> 21
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