|
n
<br /> X
<br /> ,i7,
<br /> aa,`-
<br /> f m � +m 3 AN JOAQU><..I COUNTY ENVIRONMENTAL HEAL H DEPARTMENT
<br /> r fit,a;\e � 'S���*& A x �1 F 5`+� •,,�.�s�aK� � �+ �a:
<br /> t x r g 600E Main St. • Stockton, CA 95202-3029 • Phone(209)468-3420
<br /> Wit' Iw
<br /> F .
<br /> tX�,v'Y' �r.ni .k`* Heron
<br /> �' ,R.E.H.S., Director
<br /> Donna
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY24
<br /> `>< PERMIT TO OPERATE a 7!a �' ,
<br /> s �
<br /> � ! ; Program Permit Permit
<br /> kr t 1 Record ID Number Program Code and Description Valid
<br /> PR0516231 PT0011186 2227 HAZARDOUS WASTE,QENEf2ATOFS FACILITY 1/1!2912 TQ 12/31/2012
<br /> f Hazardous Waste Generator Program
<br /> { y y
<br /> X . ._ ' .Cc' C�ti, j -'{_ 'f' d'Y•-a is'.•"'."�• d v. '- '..'F Y-
<br /> r ;�, <In order to maintain the permit to operate F'Hazardous> ': Waste Generators shall complywlth California'Health and Safety'Code Div 20 Cliap.6.5,Art2 1�,
<br /> Sec.25100 et se ,and Title 22,California Code of Regulations,Chap.20
<br /> 4 ! -------------------- _ _ ------------------------------------ _ _ _
<br /> PRO505264 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2012 To 12131/2012
<br /> �� Underground Storage Tank Program: „#, ,��
<br /> .71 California Health and Safety Code, Div.20,Chap._6.7 and Title 23,California Code of Regulations,Chap_16
<br /> ------ --------------- - --- ---- -
<br /> ----- ------- -------- - - -- ------ -----
<br /> "< : P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> t° 'i5 2362 1 390005052640505265 PT0007849 12,000 REGULAR UNLEADED Active, billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> t =62360 2 390005052640505266 PT0007850 12,000 PREMIUM UNLEADED Active, billable DOUBLE WALLED Y!-Continuous Interstitial Monitoring
<br />! 2360 3 390005052640505267 PT0007851 12,000 DIESEL Active, billable r oouaLE WALLED ','Continuous Interstitial Monitoring
<br /> '`2360 4 390005052640505268 PT0007852 20 000 '� = DIESEL a Active,billable „ ^. DOUBLE WALLED Continuous Interstitial Monitoring
<br /> } 2360 5 390005052640505269 PT0007853 20 000 '`''a,f DIESEL Active,billable t DOUBLE WALLED F .Continuous Interstitial Monitoring
<br /> 4
<br /> �1 OTHER Active,billable ` ` DOUBLE WALLED Continuous Interstitial Monitoring
<br /> •2360 6 390005052640505270 PT0007854 20 000 � DIESEL Active,billable � .
<br /> (`2360 7 390005052640505271 PT0007855 6,000 f i; ' DOUBLE WALLED Continuous Interstitial Monitoring
<br /> �}062t7
<br /> a. � Y & nt' �:�P � ...
<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 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. 16 and 18,as well as any conditions
<br /> I t r G xa. established by San Joaquin County.
<br /> 1 '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 Pennittee shall ensure that both
<br /> 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 Pennit Conditions. The approved
<br /> monitoring,response,and plot plans shall be maintained onsite with the permit.
<br /> The Permittee shall comply with the monitoring procedures referenced 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 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 Pennitee shall comply with the requirements of Title 23 CCR,Chap.16,Arta 5,and the approved Emergency Response Plan.
<br /> c
<br /> kvtl fir.-8) Written records of all monitoring performed shall be maintained on-site by the operator and be available for inspection for a penod.,of at least,three years from the date She momto{tttg WAS
<br /> performed.
<br /> The EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change.
<br /> �• : ;,. r
<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 su0jgct to review,modification or
<br /> revocation: tr r a
<br /> t 'a 1) Construction,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment. "s ti y"f,r r app f
<br /> This Permit to Operate shall not be considered permission to violate any Jaws,ordinances or statutes of any other Federal,State or Local agency 1 ”
<br /> z t =13) A Conditional"Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated
<br /> yet" __ _ ____________ _ __ ______ _____- - ___-_-_ ---.__._-_____ __ _______- ___-__-__ _________ _________ _____ ____ ,< U, La.'4 ---------
<br /> -------------
<br /> NE
<br /> ___ _ L_._ __--_ ___
<br /> r,°Baa rix ne, �, t � PERMITS TO OVERATE may be SUSPENDED or REVOKED for cause,
<br /> PERMIT(s)Valid only for: PILOT TRAVEL CENTERS LLC
<br /> 1 .
<br /> <' THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> j P FLYING J TRAVEL PLAZA#618" ;� �x = Facility ID FA0006672
<br /> Regulated FaClgty r a a r
<br /> 1501 N JACK TONE RD mss; ,'.i� Account ID AR0009013
<br /> fir RIPON CA 95366 Issued 2/1012012 ri
<br /> pf \i .x a,�'A -.3.�`�ra�Yf r�ja�p' �•x �..,, ,'€.�p�%k, � r, '` � f!'�7'r�';- „'���`>�C,'F, -¢ �'� \i x\'` y,,.; \� Fs� fr: r�� ,,z i .r.s,ic:..
<br /> {
<br /> + .. P{ -: ,.r." •;:'
<br />( '1, ,;Billing Address: ATTN PILOT TRAVEL CENTERS LLC wx 1q a r l a:n > , r s V�
<br /> FLYING J TRAVEL PLAZA #618 a'
<br /> `.`5508 ZONAS RD
<br /> F jx °°.KNOXVILLE TN 37939-0146f argt ' K
<br /> J ZF wF fF T R 'E t
<br /> �:,3F+"c,�d` �. xc so ., tib< r k+ ,'y 1 ."., $ zt;°
<br /> y%t i '4 j ¢�;s a YSEa �� y y� ?
<br /> \ J .' r�. 1 &`- ,, 4411 '' 'f rk'• SP s l 4P:ws 4 t A ~ X
<br /> .'ar + ,� r iJ='� + �.r _ r ',4 ^wt •+ .# ,.,f 1 \.rc� 'ne t' `9js .aa
<br /> r \ ¢
<br /> r
<br /> , � ar�rr� t'�r" `"� ,�' :x >s :. +tl �d 7 '� a v, �, °' r'�h. r•,{" �`' „ ..
<br />
|