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SAN JO QUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 60 E. Main St. • Stockton, CA 95202-3029 9 Phone(209)468-3420 Donna Heran,R.E.H.S., Director ENVIRONMENTAL HEALTH S N JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Program Permit Permit Record ID Number Program Code nd Description Valid PRO521759 PT0014706 2220- M L QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2009 To 12/31/2009 Hazardous Waste Generator Program: In order to maintain the permit to operate, azardous Waste Generators shall comply with California Health and Safety Code, Div.20,Chap.6.5,Art.2-13, Sec.25100 et seq,-and Title 22,California Code of Regulations,Chap.20_ --------------- ------p ----- ------- ------ --------- ------ -------- ------- ----------- PR0231092 2300-UND RGROUND STORAGE TANK FACILITY 1/1/2009 To 12/31/2009 Underground Storage Tank Program: California Health and SafetCode,Div.20 Chap.6.7 and Title 23,California Code of Regulations,Chap. 16_ -------------------------------------------------- ------ - ------- - - - --- -------- --------- --------- ---------- P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection 2362 5 390002310920515512 PT0011052 3,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring 2360 6 390002310920515513 PT0011053 9,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring Underground Storage Tank Permit Conditions 1) The Permit to Operate will become void if A ual Permit Fees and Service Fees are not paid and/or the UST system(s)fails to remain in compliance with these Permit Conditions. 2) In order to maintain the operating permit,the o 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 established by San Joaquin County. 3) If the Tank Operator(s)is different from the T k 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 the Tank Owner and tank Operator receive a c py of the permit. 4) Written Monitoring Procedures and an Emergen y Response Plan must be approved by the Environmental Health Department(HHD)and are considererd UST Permit Conditions. The approved monitoring,response,and plot plans shall be ma tained onsite with the permit. 5) The Pennittee shall comply with the monitoring rocedures referenced in this permit. 6) The Permittee shall perform testing and preve ive maintenance on all leak detection monitoring equipment annually,or more frequently if specified by the equipment manufacturer,and provide documentation of such servicing to thi office. 7) In the event of a spill,leak,or other unauthori d release,the Permitee shall comply with the requirements of Title 23 CCR,Chap. 16,Art.5,and the approved Emergency Response Plan. 8) Written records of all monitoring performed s II 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 performed. 9) The EHD shall be notified of any change in own ship or operation of the UST system within 30 days of such change. 10) Upon any change in equipment,design or oper tion of the UST system(including change in tank contents or usage),the Permit to Operate will be subject to review,modification or revocation. 1 1) Construction,repair and/or removal permits are r quired from the EHD prior to any change,repair or removal of UST system equipment. 12) The Pennittee shall submit an annual report doc enting compliance with the UST Permit Conditions within 30 days of the date of the issuance of this permit. 13) This Permit to Operate shall not be considered ermission to violate any laws,ordinances or statutes of any other Federal,State or Local agency. 14) A"Conditional"Permit may be revoked if co ections specified on the inspection report are not completed by the date(s) indicated. PERMITS TO OPERATE are NOT TRANSFERABLE and may be SUSPENDED or REVOKED for cause. PERMIT(s)Validonly for: MATAR, MOHAMAD S Tan Owner: MOHAMAD S MATAR HIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES Regulated Facility: QUICK N SAVE* Facility ID FA0001946 1901 S EL DORA O ST Account ID AR0001954 STOCKTON CA 5206 Issued 2/4/2009 Billing Address: ATTN : MATA , MOHAMAD S QUICK N SAVE* 1901 S EL DO DO ST STOCKTON CA 95206 7023 rpt