Laserfiche WebLink
SAN JO UIN COUNTY PUBLIC HEALTH VICES <br />304 E. WEBER AVE., THIRD FLOOR • STOCKTON, CA 95202 • PHONE (209) 468-3420 <br />KAREN FURST, M.D., M.P.H., HEALTH OFFICER <br />DONNA HERRN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br />ENVIRONMENTAL HEALTH <br />SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br />PERMIT TO OPERATE <br />Program Permit - Permit <br />Record 1D Number Program Code and Description Valid <br />PR0232418 2300 - UNDERGROUND STORAGE TANK FACILITY 1/1/01 To 12/31/01 <br />Underground Storage Tank Program: <br />California Health and Safety Code Div. 20, Chap. 6.7 and Title 23 California Code of Regulations Chap. 16_ _ ----------------- <br />2360 _____________ <br />2360 6 390002324180507918 PT0009395 4,000 PREMIUM UNLtAUtU Active — ......— .—•.... .... <br />- <br />2360 5 390002324180507917 PT0009394 8,000 DIESEL Active DOUBLE WALLED INTERSTITAL MONITOR <br />2362 4 390002324180507916 PT0009393 15,000 REGULAR UNLEADED Active DOUBLE WALLED INTERSTITAL MONITOR <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 <br />Conditions. <br />2) In order In maintain the operating permit, the permit holder 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 <br />any conditions 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 ofthe tank, the Permittee shall <br />ensure that both the Tank Owner and tank Operator receive a copy ofthe permit. <br />4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Division (PHSBHD) and are considererd UST Permit <br />Conditions. Copies of the Procedures and Emergency Response Plan must be attached to this permit or be available for review and/or inspection at the UST site. <br />5) The Permittee shall comply with the monitoring procedures referrenced 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 <br />manufacturer, and provide documentation ofsuch 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 <br />Response Plan. <br />8) Written records of all monitoring performed shall be maintained on-site by the operator and be available for inspection fora period of at least three years from the date the <br />monitoring was performed. <br />9) The PHS/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 ofthe UST system (including change in tank contents or usage), the Permit to Operate will be subject to review, <br />modification or revocation. <br />11) Construction, repair and/or removal permits are required from the PHS/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 U ST Permit Conditions within 30 days of the anniversary date ofthe issuance ofthis 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 may be 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: CHEA, HENG BUN & CHEA, KEVIN <br />DBA: WATERLOO LIQUOR <br />Tank Owner: PELUSO, ANTONIO <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: WATERLOO LIQUOR Facility ID FA0004064 <br />2512 E WATERLOO RD Account ID AR0003717 <br />STOCKTON. CA 95205 Issued 3/29/2001 <br />Billing Address: ATTN : CHEA, HENG & CHEA, KEVIN <br />WATERLOO LIQUOR <br />2512 E WATERLOO RD <br />STOCKTON, CA 95205 <br />7023.rpt 0 0 <br />