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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. <br /> - ---- ----------------- --- --- ---- ------ - <br /> ------------------------- <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. <br /> ---- - ---- ----------------------------------- ------ ----------------------------------------- ----— —---------------- -------------------- - -------------------- <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 <br />