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.,,1 <br /> T � � <br /> ' SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT",.' <br /> 600 E. Main St. • Stockton, CA 95202-3029 • Phone(209)468-3420 <br /> ' Donna Heran,R.E.H.S., Director <br /> I ENVIRONMENTAL HEALTH <br /> A` SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> rte£. <br /> PERMIT TO OPERATE <br /> Program Permit y'* , Permit x g <br /> Program Code and Description ° ? ' 7` ? ': .s <br /> Record ID Number g p Valid <br /> 1144 <br /> PRO517801 PT0011720 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2011 To 12/31/2011 <br /> Hazardous Waste Generator Program: ` <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 seg,and Title 2-- -----Caf-- -ia_Code of Regulations,Chap.20. <br /> _ ------------------ _ ____ r <br /> 77, <br /> ;_R0517272 2300-UNDERGROUND STORAGE TANK FACILITY > 1/1/2011 To 12/31!2011 r <br /> nderground Storage Tank Program: <br /> California Health and SafetyCode,Div.20,Chap.6.7 and Title 23,California Code of Regulations,Chap. 16 ' Er <br /> p g p -----------------�.- r----------------------- -- <br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection <br /> E 2362 1 390005172720515581 PT0011549 20,000 DIESEL Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> 2360 2 390005172720515582 PT0011550 20,000 DIESEL Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> 2360 3 390005172720515583 PT0011551 20,000 DIESEL Active,billable a'"DOUBLE WALLED Continuous tnterstitial Monitoring <br /> 2360 4 390005172720515584 PT0011552 20,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> 2360 5 390005172720515585 PT0011553 12,000 REGULAR UNLEADED Active,billable "'DOUBLEWALLEP; Continuous Interstitial Monitoring <br /> ? s N <br /> � r <br /> Underground Storage Tank Permit Conditions = r <br /> J ti' p 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 c r <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 J <br /> established by San Joaquin County. <br /> k , 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 /> 4 s 19) 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 /> .The Permittee shall comply with the monitoring procedures referenced in this ermtit <br /> P Y b P P <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 ofsuch servicing to this office. <br /> ( ' '•' `In the event of a spill,leak,or other unauthurized 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 /> a <br /> The EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change <br /> Upon any change in equipment,design or operation of the UST system(including change in tank contents or usage),thePermitto Operate will be subjecttoreview,modification or �A" <br /> revocation <br /> f `11) Construction,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment. <br /> i 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 /> r <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 /> a 14) A"Conditional"Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated. v' ^ <br /> gy3 ,'.:.:,.______ --------- ----------------------------- ---- --- "__ __--___-__-___----___-_______________-- _ --_- _ ��.,,,�..y�W„v... _ <br /> w PERMITS'TO OPERATE may be SUSPENDED or REVOKED for cause. ' <br /> t" <br /> x PERMIT(s)Valid only for: PILOT TRAVEL CENTERS LLC <br /> Tank Owner: PILOT TRAVEL CTRS LLC-JOEY CUPP <br /> »s <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> PILOT TRAVEL CENTERS LLC Facility ID FA0012979 ,t <br /> Regulated Facility , , �- <br /> 15237 N THORNTON,RD ' t Account ID AR00217W$ <br /> ' LODI CA 95242 r. Issued 2/4/2011 + <br /> F J <br /> •{ '� t it " � d P a 1 , 7 <br /> < t �K ma a , <br /> .. - �.. -._ .ter �. - 1 • ..- i Jm <br />