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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 304 E Weber Ave.,Third Floor• Slndcton,CA 95202-2708•Phone(209) 468-3420
<br /> Donna Heran, RE.H.S.,Director
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PER-NIIT TO OPERATE
<br /> Permit
<br /> Pro_ Pe it Valid
<br /> Rec N r Program Code and Description
<br /> P 0 7800 PTO 11719 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY
<br /> 11112004 To 1213112004
<br /> Ha rdous Wa ene,,t,,Pr ram:
<br /> In order 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 /> California Code of Regulations,Chap.20:----______.--- _____......................._...---.-.----------------------------------------
<br /> Sec.25100 at seg,-and Title 22,
<br /> PR0506221 2300-UNDERGROUND STORAGE TANK FACILITY 1/112004 To 12/3112004
<br /> Underground Storage Tank Program'
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<br /> California Health and Safely Code,Div_20,Chap.6,7 and Title 23,Cal.- 9r is Code of Regulatlons,Chap:16a - -----_--------_-----___-.--
<br /> P E Tank# Tank Record ID Permit# Capacity Contrnts Permit Status System T)pe Leak Detection
<br /> 2362 1 390005062210506222 PT0008690 20,000 REGULAR UNLEADED Active,billable DOUBLE WALu Continuous mterstieal Manaaring
<br /> 2360 2 390005062210506223 PT0008689 10,000 REGULAR UNLEADED Active,billable DOUBLE WALL.=D continuous Interstitial Monitoring
<br /> 2360 3 390005062210506224 PT0008688 10,000 REGULAR UNLEADED Active,billable DOUBLE WALL= continuous Interstitial Monitoring
<br /> Underground Storage Tank Permit Conditions
<br /> The Permit to Operate will become.oid if Annual Permit Fees and Service Fees_n not paid and/or the UST system(s)fails to remain in complimce si[h thele Penni/Conditions.
<br /> _ In order to maintain the operating perm 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 13.as well as any conditions
<br /> established by San Joaquin County.
<br /> If the Tank Operator(s)is different from the Tank Owner,or if the Permit to Ope-^_e is issued to a person other than the owner or operator of the tact the Permittee shall ensure that both
<br /> the Tank Owner and tank Operator receive a copy of the permit.
<br /> Written Monitoring Procedures and an Emergency Response Plan must be approved S}rhe Environmental Health Department(EHD)and are considemi d CSI Permit Conditions. The approved
<br /> monitoring,response,and plot plans shall be maintained onsite with the permit-
<br /> The
<br /> emdt,The Pemdttee shall comply with the monitoring procedures referenced in this perrr.L
<br /> 6. The Permittee shall perform testing and preventive maintenance on all leak demc--on monitoring equipment annually,or more frequently if specifier,by the equipment manufacturer,and
<br /> provde documentation of such senicing to this office.
<br /> In the event of a spill,leak,or other unauthorized release,the Pernitee shall conI with the requirements of Title 23 CCR Chap.16.Art.5,and t`_approved Emergency Response Plan.
<br /> 3 Written records of all monitoring performed shall be maintained on-site by the oprrator and be available for inspection for a period of at least three dears from the dale 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 /> In, Upon any change in equipment,design or operation of the UST system(includinz change in tank contents or usage),the Permit to Operate will be riject to re iew,modification or
<br /> Ili CBF,S'ddlRlbn,repair and/or removal pemdts are required from the ERD prior to any change.repair or removat of UST system equipment,
<br /> 121 The Pennine.shall submit an annual report documenting corrpliame with the UST Penvt Conditions within 30 days of the date of the issuance of this pewit
<br /> L I This Permit to Operate shall not be considered permission to violate any laws,ordinances or statutes of my other Federal,State or Local agency.
<br /> 14. A"Conditional"Permit may be revoked if corections 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 Fes'ID FA0007287
<br /> 14931 N FLAG CITY BLVD A,=mI ID AR0010766
<br /> LODI, CA 95242 ISS1ed 4/1/2004
<br /> Billing Address:
<br /> FLAG CITY ARCO AM/PM
<br /> 14931 N FLAG CITY BLVD
<br /> LODI, CA 95242
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