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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.Weber Ave.,Third Floor•Stockton,CA 95202-2708• Phone(209)468-3420 <br /> Donna Horan, R.E.H.S., Director <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Program Permit Permit <br /> Record ID Number Program Code and Description Valid <br /> PR0518492 PT0012051 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2003 To 12/31/2003 <br /> Hazardous Waste Generator Program: <br /> Califomia Health and Safety Code,Div_20,Chap.6.5 ,Art_2 .13 ,Sec_25100 et seq,and Title 22:Califomia Code of Regulations,Chap_20: <br /> ---- --------------------------- - <br /> PR0231059 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2003 To 12/31/2003 <br /> Underground Storage Tank Program: <br /> Califomia Health and Safety Code,Div.20,Chap.6.7 and Title 23,Califomia Code of Regulations,Chap_ 16 . <br /> -- --------- --- -------- ---- -------- ----------- <br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection <br /> 2360 5 390002310590507225 PT0009275 6,000 PREMIUM UNLEADED Conditional DOUBLE WALLED Continuous Interstitial Monitoring <br /> 2362 4 390002310590507224 PT0009274 14,000 REGULAR UNLEADED Conditional DOUBLE WALLED Continuous Interstitial Monitoring <br /> Bbl 1lbg E44Z0'2451 �' " �, <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 Environmental 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 /> 11) C4Yif01b gIbn,repair and/or removal penis arc required from the EHD prior to any change,repair or removal of UST system equipment. <br /> 12) The Permittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the anniversary 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: OTHMAN,KHALDOON&CHOUHAN,SWARA <br /> DBA: K&S GAS 8t GROCERY <br /> THIS FORA MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: K 8t S GAS 8t GROCERY* Facility ID FA0002512 <br /> 701 E CHARTER WAY Account ID AR0004680 <br /> STOCKTON, CA 95206 Issued 5/1/2003 <br /> Billing Address: <br /> K & S GAS & GROCERY* <br /> 701 E CHARTER WAY <br /> STOCKTON, CA 95206 <br /> 7023.rp1 <br />