SAN JO QUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 60 E. Main St. • Stockton, CA 95202-3029 • Phone(209)468-3420
<br /> Donna Heran,RE,H.S., Director
<br /> ENVIRONMENTAL HEALTH
<br /> SA JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit Permit
<br /> Recor umber gram Code nd Description Valid
<br /> 0521759 PT0014706 22 -SM L QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2011 To 12/31/2011
<br /> HBza[ a r rogram:
<br /> In order to maintain the permit to operate, iazardous 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 ode of Re ulations,Cha _20_
<br /> PR0231092 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2011 To 12/31/2011
<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 Leak Detection
<br /> 2362 5 390002310920515512 T0011052 3,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 6 390002310920515513 T0011053 9,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> BOE ID#: 44045016
<br /> Underground Storage Tank Permit onditions
<br /> 1) The Permit to Operate will become void if Ann ial 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 owr.er 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 Ta ik 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 coy of the permit.
<br /> 4) Written Monitoring Procedures and an Etnergenc Response Plan must be approved by the Environmental Health Department(EHD)and are considererd UST Pennit Conditions. The approved
<br /> monitoring,response,and plot plans shall be mat tained onsite with the permit.
<br /> 5) The Pernittee shall comply with the monitoring pi ocedures referenced in this permit.
<br /> 6) The Permittee shall perform testing and prevent ve 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 this office.
<br /> 7) In the event of a spill,leak,or other unauthorizt d release,the Permite:shall comply with the requirements of Title 23 CCR,Chap.16,AR.5,and the approved Emergency Response Plan.
<br /> 8) Written records of all monitoring performed shi It be maintained on-site by the operator and be available for inspection for a period of at least three years from he date the monitoring was
<br /> performed.
<br /> 9) The EHD shall be notified of any change in owner hip or operation of the UST system wither 30 days of such change.
<br /> 10) Upon any change in equipment,design or opera ion 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 I) Construction,repair and/or removal permits are re luired from the EHD prior to any change,repair or removal of UST system equipment.
<br /> 12) The Permittee shall submit an annual report docun eating 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 p rmission to violate any laws,ordinances or statutes of any other Federal,State or Local agency.
<br /> 14) A"Conditional'Permit may be revoked if co coons specified on the inspection report are not completed by the date(s) indicated.
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<br /> PERU ITS TO OPERATE may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s)Valid my for: MATAR, MOHAMAD S
<br /> Tank Owner: MOHAMAD S MATAR
<br /> HIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility: QUICK N SAVE* Facility ID FA0001946
<br /> 1901 S EL DORA O ST Account ID AR0001954
<br /> STOCKTON CA 5206 Issued 2/4/2011
<br /> Billing Address: ATTN MATA MOHAMAD S
<br /> QUICK N SAVE*
<br /> 1901 S EL DORADO ST
<br /> STOCKTON CA 95206
<br /> 7028 rpt
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