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VIVO <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.Weber Ave.,Third Floor•Storkton,CA 95202-2708•Phone(209)468-3420 <br /> ��RDoonnn ,Hee/r�ant,,R.ETH-S.,Director T1 171 <br /> SAN XAIQ ) COUNTY CERTIFIED*IED WRAM AGENCY <br /> PERMIT TO OPERATE <br /> Permit <br /> Program Valid <br /> Record ID Number Program rid Description <br /> p 7800 PT0011719 2220-SMALL UANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/112005 To 1213112005 <br /> azardous Waste Generator Program.--- <br /> lrrorder-to naihtain-tfie peimit to operate,Hazardous Waste Generators shall comply wHh California Health and Safety Code,Div.20,Chap.6.5,Art.2-13, <br /> Sec,25100 et seq,,and Title 22,California Code of Regulatlons,Chap,20:__---- - - ----------------------- <br /> PRO506221 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2005 To 12131112005 <br /> Underground Storage Tank Program: <br /> California Health and Safety Code,Div.20,Chap.6.7 and Title 2-- California Code of R----- ionst Chap:16_ _----_-----__-------___.__._.___.____.__--___._ <br /> Tank <br /> _.___._ _____ P y <br /> P/B Tank R Tank Rewrd ID Permit H Ca aci Contents Permit Status System Type Leak Detection <br /> 2362 1 390005062210506222 PTDW8690 20,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> 2360 2 390005062210506223 PT0008689 10,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> 2360 3 390005062210506224 PT0008688 10,000 REGULAR UNLEADED Active,billable 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 Operalor(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 Pemducc 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,An.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 Ekm 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 permits are 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 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,Slate 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- HALLOUM,YOUSIF <br /> DBA: ARCO AM/PM (FLAG CITY) <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility FLAG CITY ARCO AM/PM Facility ID FA0007287 <br /> 14931 N FLAG CITY BLVD Account Ili AR0010766 <br /> LODI, CA 95242 Issued 2110/2005 <br /> Billing Address: ATTN : HALLOUM, YOUSIF <br /> FLAG CITY ARCO AM/PM <br /> 14931 N FLAG CITY BLVD <br /> 7023.rpt <br />