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SAN JOA UPN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 1868 E. Hazelton Ave. • Stockton, CA 95205-6232 • Phone (209) 468-3420
<br /> Donna Heran,R.E.H.S.,Director
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit Permit
<br /> Record ID Number gra Code and Description Valid
<br /> PRO521562 -PT0014549 2220= MA L QUANTITY HAZARDOUS WASTE-GENERATOR FACILITY 1/1/2013 To-42/3112013
<br /> Hazardous Waste Generato Pro ra
<br /> In order to maintain the perm perate, 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,Chap.20:
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<br /> PR0231401 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2013 To 12/31/2013
<br /> Underground Storage Tank Program:
<br /> California Health and Safety Code, Div.2 Chap.6.7 and Title 23,California Code of Regulations,Chap_16.
<br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2362 5 390002314010140105 PT0004348 10,000 DIESEL Active,billable DOUBLE-WALL Continuous Interstitial Monitoring
<br /> 2360 6 390002314010140106 PT0004349 10,000 REGULAR UNLEADED Active,billable DOUBLE-WALL Continuous Interstitial Monitoring
<br /> 2360 7 390002314010140107 PT0004350 10,000 PREMIUM UNLEADED Active, billable DOUBLE-WALL Continuous Interstitial Monitoring
<br /> BOE ID#: 44043750
<br /> Underground Storage Tank Permit Conditions
<br /> 1) The Permit to Operate will become void if Ar nual 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 operatingpemmit,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 /> established by San Joaquin County.
<br /> 3) If the Tank Operator(s)is different from the ank 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 opy of the pen-nit.
<br /> 4) Written Monitoring Procedures and an Emerges ey 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 Pennittee 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 J is 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 DID shall be notified of any change in ow ership or operation of the UST system within 30 days of such change.
<br /> 10) Upon any change in equipment,design or opt ration 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 pennits are required from the EHD prior to any change,repair or removal of UST system equipment.
<br /> 12) This Permit to Operate shall not be considers I permission to violate any laws,ordinances or statutes of any other Federal,State or Local agency.
<br /> 13) A"Conditional'Permit may be revoked if corrections specified on the inspection report are not completed by the dates) indicated.
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<br /> PER MITS TO OPERATE may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s)Val d only for: PATEL, MAHESH
<br /> DBA: KWIK SERVE
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> KWIK SERVE Facility ID FA0006388
<br /> Regulated Facility: Account ID
<br /> 950 W ELEVENTH ST AR0007834
<br /> TRACY CA 95B76 Issued 2/19/2013
<br /> Billing Address: ATTN : PA EL, MAHESH
<br /> KWIK SERVE
<br /> 950 W 11TH ST
<br /> TRACY CA S5376
<br /> 7023 rpt
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