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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 Heran, R-E.H.S., Director
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> —,� PERMIT TO OPER_aTE
<br /> Program ennit P_trntt
<br /> Record ID Number Program Code and Description Valid
<br /> PR05184,92 PT0012051 2220LSMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2004 To 12/31/2004
<br /> Hazardous Waste Generator Pro am:
<br /> In order to maintain the permit operate,Hazardous Waste Generators shall comply with California Health and Safety Code,Div.20,Chap.6.5,Art.2-13,
<br /> Sec.25100 etseq.and Ti 2,California Code of Regulations,Chap.20__ _____ __________._______..____________
<br /> PR0231059 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2004 To 12/31/2004
<br /> Underground Storace Tank Program:
<br /> California Health a.-.d Safety Code,Div.20,Chap.-6.7 and Title 23,California Code of Rec_,,lations,Chap_16_
<br /> P/E Tank.= Tank Record ID Permit# Capacity Contents Pe,=it Status System Type Leak Detection
<br /> 2360 5 390002310590507225 PT0009275 6,000 PREMIUM UNLEADEC Conditional DOUBLE WALLED Continuos:-:erstitiai htonitoring
<br /> 2362 4 3002310590507224 PT0009274 14,000 REGULAR UNLEADEC Conditional DOUBLE WALLED continuous rterstltiat hlonitoring
<br /> BOE ID#- 44-024511
<br /> Underground Storage Tank Permit Conditions
<br /> 1) The Permit to Ciente will become void if Annual Permit Fees and Service Fees are not paid and'or the---;T sys:em(s)fails to remain in compliance with these Permit Conditions,
<br /> 2) In order to the operating permit,the owner and operator shall comply with the H&S Code,Div. alp.6. and 6.75;and CCR,Title 23,Chap.16 and 18,as well any conditions
<br /> established be Sac:oaquin County.
<br /> 3) If the Tank Ol:-_:orts)is different from the Tank Owner,or if the Permit to Operate is issued to a perms-.ether'-an the owner or operator of the tank,the Pemtittee sh-:ensure thatboth
<br /> the Ta-:.Owner_.d tank Operator receive a copy of the permit.
<br /> 4) wrinen\tomtoc,g Procedures and an Emergency Response Plan must be approved by the Environmental? _nh Det artment(EHD)and are considererd UST Permit Conditic_. The approved
<br /> moniwrng,res,.tee.and plot plans shall be maintained onsite with the pertit.
<br /> 5) The Permittee a compl,with the monitoring procedures referenced in this permit.
<br /> 6) The Permittee .11 perform testing and preventive maintenance on all leak detection monitoring equip=t annually,or more frequently if specified by the equipment manufacttuer,and
<br /> pro%i.e docum--tion of such servicing to this office.
<br /> 7) In the event of a--ill.leak.or other unauthorized release,the Permitee shall comply with the requirer:e-s of Tide 23 CCR,Chap. 16,Art.5,and the approved Emergeccy Response Plan.
<br /> 8) NVrinzi records o`all monitoring performed shall be maintained on-site by the operator and be availab:e.'or ins�cdon for a period of at least three years from the date_e monitoring was
<br /> performed.
<br /> 9) The EM shall'ae notified of any change in ownership or operation of the UST system within 30 days of suc=change.
<br /> 10) Upon any char,z in equipment,design or operation of the UST system(including change in tank cont=or u_`_e),the Permit to Operate will be subject to review,modification or
<br /> 11) Cecgi4 Ibn,re-_a:and or removal permits are required from the EHD prior to any change,repair or renxr.i mf CST system equipment-
<br /> 12)
<br /> quipment12) The Pemtittee _2 submit an annual report documenting compliance with the UST Permit Conditions with-:J days of the date of the issuance of this permit.
<br /> 13) This Permit to O;.erate shall not be considered permission to violate any laws,ordinances or statutes of other Federal,State or Local agency.
<br /> 14) A"Conditional"Permit maybe revoked if corrections specified on the inspection report are not comp',c d by the dates) 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 & GROCERY
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOt-SLY ON THE PREMISES
<br /> Regulated Facilir,: K &S GAS &GROCERY* Facility ID FA0002512
<br /> 701 E CHARTER WAY Account ID AR0004680
<br /> STOCKTON, CA 95206 Issued 4/1/2004
<br /> Billing Address'
<br /> K & S GAS & GROCERY*
<br /> 701 E CHARTER WAY
<br /> STOCKTON, CA 95206
<br /> 7023.rpt
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