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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 He=, F-F-H.S..,DirccDar <br /> RYCEOUo7 � THEALTH <br /> SANJOEQ N CRTFtEN PROGRAM <br /> AGENCY <br /> PERMIT TO OPERATE <br /> Pcmnil <br /> Vard <br /> Program Permit <br /> Record ID Number Program Code and Description 111/2003 To 1 213112 0 0 3 <br /> PR0517800 PT0011719 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY <br /> ••---•a-•=w=ste Generator Prooram: ___ __-.-_- <br /> California Health and Safely Code_Div_20:Chap..6S,Art_2-13,Sec_2510.0 et seq,-and Title 22,Califomia Code of Regulations,Chap.2 _..__ <br /> 11112003 To 1213112003 <br /> PRO506221 2300-UNDERGROUND STORAGE TANK FACILITY <br /> Underground Storage Tank Procrem: , <br /> California Health and Safety Code,Div.20,Cha _6.7 and Title 23,Califomla Code of Regulations.....Chap, .,---._---.--_----._-..._---------- -------- --------- - <br /> -- - P . . <br /> - � - �� �� ----- Eck <br /> PIE Tank N Tank Record ID Permit q CapacityContents Permit Status DSOU q D Continuous lmersubal Monnonng <br /> 2362 1 390005062210506222 PT0008690 20.000 REGULAR UNLEADED Active,billable DOUBLE WALLED continuous Imersouai Monitoring <br /> 2360 2 390005062210506223 PT0008689 10,000 REGULAR UNLEADED Active,billable <br /> 2360 3 390005062210506224 PT0008688 10,000 REGULAR UNLEADED Active,billable DOUBLE WALLED continuous ImersUbal Monitoring <br /> �E7If��id37% 5° <br /> Underground Storage Tank Permit Conditions <br /> t) The Permit to Operate will become void if Ammual Permit Fces and Service Fees are not paid and/or the UST systems)fails to remain in compliance with these Penni,Conditions. <br /> 2) In order to maintain the operating pemdL 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 Opemtor(s)is di Oerent from the Tank Owner.or i Jibe Permit to Operate is issued to a person other than the owner or operator of the lank,the Pennine,shall ensure that both <br /> the Tank Owner and Link Operator receive a copy of the permit <br /> 4) WnMen Monitoring Procedures and an Emergency Response Plan most be approved by the Environmental Health Department(EHD)and are considererd UST Pemtil Conditions. The appmaed <br /> monitoring,response,and plot plans shall be maintained onsite with the permit. <br /> 5) The Perm nee shall comply with the monitoring procedures referenced in this pemdL <br /> 6) The PemtiU¢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 ofsuch servicing to this office. <br /> 7) In the cvam ora spill,leak,or other unauthrm ed 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 or all monitoring performed shall be maintained on-site by the operator and be available for inspection for a period of Ieast three years from IM 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 lank contents or usage),the Permit to Operate will be subject to review,modification or <br /> 1 1) (!%V ti•81916m,repair auNor removal permits am required from the EHD prior to any change,repair or removal of UST system equipment <br /> 12) The Permittee shall submit an annual report dmumenting compliance with the UST Permit Conditions within 30 days of the anniversary dale of the issuance of this permit- <br /> 13) <br /> ermit13) This Permit to Opcnue shall not be considered permission to violate any laws,ordinances or statutes or 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: HALLOUM,YOUSIF <br /> DBA: ARCO AM/PM (FLAG CITY) <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Faciliy. FLAG CITY ARCO AM/PM Facility ID FA0007287 <br /> 14931 N FLAG CITY BLVD Account ID AR0010766 <br /> LODI. CA 95242 Issued 5/112003 <br /> Billing Address: <br /> FLAG CITY ARCO AM/PM <br /> 14931 N FLAG CITY BLVD <br /> LODI, CA 95242 <br /> 70M.rpl <br />