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SAN JOA JUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 304 E.Wetwr Ave.,Third Floor• Stockton,CA 95202-2708• Phone(209)468-3420
<br /> Donna Heran, R.E.H.S., Director
<br /> I I �NMREN�TAL HEALTH
<br /> SA JI AQ N O TY RTIFI D UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit Permit
<br /> Record ID Number abRa de d Description Valid
<br /> PR0521562 PT001454 .2220-S'AIL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 8/30/2004 To 12/31/2004
<br /> Hazardous Waste General r Pro ram:
<br /> In order to maintain the per it to oper e, azardous 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 _ _Ca' rnia ode of Regulations,Chap.20_
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<br /> PR0231401 2300-UNDERGROUND RGROUND STORAGE TANK FACILITY 8/30/2004 To 12/31/2004
<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_
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<br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type teak Detection
<br /> 2362 5 390002314010140105 PT0004348 10,000 DIESEL Conditional DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 6 390002314010140106 21T0004349 10,000 REGULAR UNLEADED Conditional DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 7 390002314010140107 T0004350 10,000 PREMIUM UNLEADED Conditional DOUBLE WALLED Continuous Interstitial Monitoring
<br /> Underground Storage Tank Permit Conditions
<br /> I) The Permit to Operate will become void if An ual 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 pennit,the ow mer 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 /> established by San Joaquin County.
<br /> 3) If the-rank Operator(s)is different from the Tink 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 c py of the permit.
<br /> 4) Written Monitoring Procedures and an Eniergenc y Response Plan must be approved by the Environmental Health Department(EHD)and are considererd UST Permit Conditions. The approved
<br /> nxmitoring,response,and plot plats shall be mai uained onsite with the permit.
<br /> 5) The Permittee shall comply with the monitoring rocedures referenced in(his permit.
<br /> 6) The Permittee shall perform testing and prever live 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 thi office.
<br /> 7) In the event ofa spill,leak,or other unauthori2ed 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 sl all 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 own rship or operation of the UST system within 30 days of such change.
<br /> 10) Upon any change in equipment,design or operition of the UST system(including'change in tank contents or usage),the Permit to Operate will be subject to review,modification or
<br /> revocation.
<br /> 1 1) Construction,repair and/or removal permits are iequired 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 laws,ordinances or statutes of any other Federal,State or Local agency.
<br /> 14) A"Conditional"Permit maybe revoked ifccrrections 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 /> IMENEEMENO� J
<br /> PERMIT(s)Valid only for: PATEL, MAHESH
<br /> DBA: KWIK SERVE
<br /> THIS FORM MUSTBE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility: KWIK SERVE Facility ID FA0006388
<br /> 950 W 11TH ST Account ID AR0007834
<br /> TRACY, CA 95376 Issued 9/9/2004
<br /> Billing Address: ATTN : PAT L, MAHESH
<br /> KWIK SERVE
<br /> 950 W 11TH S
<br /> TRACY, CA 9 376
<br /> 7023.rpt
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