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SAN JC AQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 00 E. Main St. • Stockton, CA 95202-3029 • 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 ,,Perrtu"t---� Permit
<br /> Record I Number Program Coe nd Description
<br /> Valid
<br /> PR 1562 PT0014549 2220-sm5kLL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2011 To 12/31/2011
<br /> s e Generator Pro r
<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,Californ a Co de of Regulations,Chap.-20-
<br /> NK
<br /> PR0231401 2300-UN ERGROUND STORAGE TAFACILITY 1/1/2011 To 12/31/2011
<br /> Underground Storage Tank Program:
<br /> California Health and Safety Code, Div. 0,Chap.6.7 and Title 23, California Code of Regulations,Chap_ 16:
<br /> -- - -- ---- ------------- --------
<br /> P/E Tank# Tank Record 1D Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2362 5 390002314010140105 PT0004348 10,000 DIESEL Conditional DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 6 390002314010140106 PT0004349 10,000 REGULAR UNLEADED Conditional DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 7 390002314010140107 PT0004350 10,000 PREMIUM UNLEADED Conditional DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 801 UD#__4g137�Q.x ', i'
<br /> Underground Storage Tank Pertit Conditions
<br /> 1) The Permit to Operate will become void if A nnual 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 /> 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 t copy of the permit.
<br /> 4) Written Monitoring Procedures and an Emerg ncy 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 r iaintained onsite with the pennit.
<br /> 5) The Pemtittee shall comply with the monitunr g procedures referenced in this permit.
<br /> 6) The Permittee shall perform testing and pre entive 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 his office.
<br /> 7) In the event of spill,leak,or other unaLithi rized release,the Pernitee shall comply with the requirements of Title 23 CCR,Chap. 16,Art.5,and the.ppruved 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 EF1D shall be notified of any change in ownership or operation of the UST system within 30.lays of such change.
<br /> 10) Upon any change in equipment,design or of eration 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) Constriction,repair and/or removal pemuts a required from the EHD prior to any change,repair or removal of UST system equipment.
<br /> 12) The Permittee shall submit an annual report&cumenting 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 consider d permission to violate any laws,ordinances or statutes of any other Federal,State or Local agency.
<br /> 14) A"Conditional'Permit may be revoked if currections specified on the inspection report are not completed by the date(s) indicated.
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<br /> PE tMITS TO OPERATE may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s)Va id only for: PATEL, MAHESH
<br /> DBA: KWIK SERVE
<br /> HIS 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 2/4/2011
<br /> Billing Address: ATTN : PA EL, MAHESH
<br /> KWIK SERVE
<br /> 950 W 11TH ET
<br /> TRACY CA S5376
<br /> 7028.rp1
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