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SAN JOAQUI-, COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 6 0 E. Main St. • Stockton, CA 95202-3029 • Phone (209)468-3420
<br /> Donna Heran, R.E.H.S., Director
<br /> ENVIRONMENTAL HEALTH
<br /> S N JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit Permit
<br /> Record 1D Number Program Code and Description
<br /> Valid
<br /> PRO521562 PT0014549 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2012 To 12/31/2012
<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_seq,and Title 22, Californi Code of Regulations,Chap.20_
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<br /> PR0231401 2300-UNE ERGROUND STORAGE TANK FACILITY 1/1/2012 To 12/31/2012
<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 /> PIE Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2362 5 390002314010140105 PT0004348 10,000 DIESEL Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 6 390002314010140106 PT0004349 10,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 7 390002314010140107 PT0004350 10,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<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 pennit,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 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 opy of the permit.
<br /> 4) Written Monitoring Procedures and an Emergei cy 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 in ntained onsite with the permit.
<br /> 5) The Pemtittee shall comply with the monitoring procedures referenced in this permit.
<br /> 6) The Permittee shall perform testing and prevc ntive 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 tf is office.
<br /> 7) In the event of a spill,leak,or other unauthor zed 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 EHD shall be notified of any change in owr ership or operation of the UST system within 30 days of such change.
<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 subject to review,modification or
<br /> revocation.
<br /> 1 1) Construction,repair and/or removal pemiits are equired from the EHD prior to any change,repair or removal of UST system equipment.
<br /> 12) This Permit to Operate shall not be considerec 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 date(s) indicated.
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<br /> PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s)Valid only for: PATEL, MAHESH
<br /> DBA: KWIK SERVE
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility:
<br /> KWIK SERVE Facility ID FA0006388 950 W 11TH ST Account ID AR0007834
<br /> TRACY CA 95376 Issued 2/10/2012
<br /> Billing Address: ATTN : PATL, MAHESH
<br /> KWIK SERVE
<br /> 950 W 11TH S
<br /> TRACY CA 9 376
<br /> 7023.rpt
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