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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEhkR17A NT tt
<br /> 304 E-Weber Ave.,Third Floor•Stockton,CA 95202-2708•Phone(209),168-3420
<br /> Donna Heran, R.E.H.S.,Director
<br /> 1 I� T XTFI I L HEALTH
<br /> SAN J AQ N O RTIFI D UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit Permit
<br /> Record ID Number Program Code and Description Valid
<br /> PRO521562 PT0014549 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 8/30/2004 To 12/3112004
<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 _ is Code of Regulations,Chap.20.
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<br /> PR0231401 2300-UND GROUND STORAGE TANK FACILITY 8/30/2004 To 12131/2004
<br /> Under round Stora a an Pro ram:
<br /> California Health and S elyCod .20,Chap._6.7 and Title 23,California Code of Regulations,Chap.16.
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<br /> P/E Tank# Tank rd ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2362 5 390002314010140105 PT0004348 .10, 00 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 /> 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 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 a copy of the permit.
<br /> 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Fnvironmental Health Department(EHD)and are considererd UST Permit Conditions. The approved
<br /> monitoring,response,and plot plans shall be maintained onsite with the permit.
<br /> 5) The Permittee shall comply with the monitoring procedures referenced in this permit.
<br /> 6) The Permittee shall perform testing and preventive 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 unauthorized 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 ownership 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 /> 11) Construction,repair and/or removal pemuts are required from the EHD prior to any change,repair or removal of UST system equipment.
<br /> 12) The Permince shall submit an annual report documenting compliance with the UST Pemut Conditions within 30 days of the date of the issuance of this permit.
<br /> 13) This Permit to Operate shall not be considered 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 corrections specified on the inspection report are not completed by the date(s) indicated.
<br /> PERMITS TO OPERATE are NOT TRANSFERABLE
<br /> and may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s)Valid only for: PATEL, MAHESH
<br /> DBA: KWIK SERVE
<br /> THIS FORM MUST RE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility: KWIK SERVE Facility ID FA0006388
<br /> 950 W 11TH ST Account ID AR0007834
<br /> TRACY, CA 95376 Issued 9/9/2004
<br /> Billing Address: ATTN : PATEL, MAHESH
<br /> KWIK SERVE
<br /> 950 W 11TH ST
<br /> TRACY, CA 95376
<br /> 7023,rpt
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