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SAN JOAQU6iCOUNTY ENVIRONMENTAL HEALTIrptPARTMENT <br /> 600 E. Main St, • 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 /> ProgramPermit Valid <br /> Record to �rogram.Code and Description <br /> PRO517800 PT0011719 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2010 To 12131/2010 <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,25100atseq,-and Title 22,California Code of Regulations,Chap Y0,____________,___________-____._._-._________ _____ -----------__..._____..___. <br /> PRO506221 2300-UNDERGROUND STORAGE TANK FACILITY 11112010 To 1213112010 <br /> Underground Storage Tank Program: <br /> California Health and Safety Code, Div.20,Chap._6.7 and Title 23,California Code of Regulations,Chap,16._ <br /> _ .___ __________ -- <br /> P/E Tank# Tank Record ID permit# CapacityContents Permit Status System Type Leak Detection <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 Monitoring <br /> Underground Storage Tank Permit Conditions <br /> I) 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 in maintain the operating peril,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 Operator(s)is different from the Tank Owner,or if the Permit to Operate is issued m a person other than the owner or operator of the rank,the Permittee 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 THU)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 peril. <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 Perites,shall comply with the requirements of Title 23 CCR,Chap.16,Art.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 in least three years from the date the monitoring was <br /> performed. <br /> 9) The RED 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 m Operate shall not be considered permission on violate any laws,ordinances or statutes of any other Federal,State or Local agency. <br /> 14) A"Conditional"Permit may be revoked if corrections specified on the inspection report we 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/SUBWAY(FLAG CITY) <br /> THIS FORM MUST RE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: FLAG CITY ARCO/SUBWAY Facility ID FA0007287 <br /> 14931 N FLAG CITY BLVD Account ID AR0010766 <br /> LODI CA 95242 Issued 2/10/2010 <br /> Billing Address: ATTN : HALLOUM, YOUSIF <br /> FLAG CITY ARCO. / SUBWAY <br /> 14931 N. FLAG CITY BLVD <br /> LODI CA 95242 <br /> 7023 rpt <br />