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SAN JOAQIIIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 600 E.Main St. to Stockton,CA 95202-3029 • 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 OPERATE
<br /> Permit
<br /> Program Permit Valid
<br /> Record ID Number---Pro am Code and Description
<br /> PR0517800 PT0011719 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2012 To 12/31/2012
<br /> Hazardous Waste Generator Program:
<br /> In order to 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 /> Sec.25100 et seg,-and Title 22,-California Code of Regulations,Chap.20------ ---------------------------------------------------------------------------------------------------
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<br /> PROB06221 2300-UNDERGROUND STORAGE TANK FACILITY 11112012 To 12131/2012
<br /> Underground Storage Tank Prooram:
<br /> California Health and Safety Code,Div.20,Chap.6.7 and Title 23,California Code of Regulations,Chap_ 16. ----------------------------------------------------
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<br /> P/E Tank# Tank Record ID Permit 4 Capacityontents Permit Status System Type LeakDe[ecnon
<br /> 2362 1 390005062210506222 PT0008690 20,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial monitoring
<br /> 2360 2 390005062210506223 PT0008689 10,000 MIDGRADE UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 3 390005062210506224 PT0008688 10,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitodrg
<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) N 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 Sm 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 Permium shall ensure that both
<br /> the Tank Owner and tank Operator receive a copy ofthe permit.
<br /> 4) Written Monitoring Procedures and an Emergency Response Plan most 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 Pennines shall comply with the monitoring procedures referenced in this permit.
<br /> 6) The Permian shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or mom 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 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 /> revocation.
<br /> 11) Comwction,repair and/or removal permits are required from the EHD prim to any change,repair or removal of UST system equipment.
<br /> 12) 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 /> 13) 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 may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s)Valid only for: HALLOUM, YOUSIF
<br /> DBA: ARCO/ SUBWAY (FLAG CITY)
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> FLAG CITY ARCO I SUBWAY Facility ID FA0007287
<br /> Regulated Facility: 14931 N FLAG CITY BLVD Account ID AR0010766
<br /> LODI CA 95242 luOed 2/10/2012
<br /> Billing Address: ATTN : HALLOUM, YOUSIF
<br /> FLAG CITY ARCO / SUBWAY
<br /> 14931 N FLAG CITY BLVD
<br /> LODI CA 95242
<br /> 7023.na
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