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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 1868 E.Hazelton Ave. • Stockton,CA 95205-6232 • 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 /> Program Permit
<br /> RProgram Code and Description Permit
<br /> e;sffMt
<br /> 0513889 PT0010084 2 -SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY Valid
<br /> or r a 1/112014 To 12131/2014
<br /> ,der 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 seq,and Title 22,California Code of Regulations,Chap_20.
<br /> PR0231785 2300-UNDERGROUND STORAGE TANK FACILITY '---------
<br /> 1nd ,ground Storage Tank Program: 1/1/2014 To 12131/2014
<br /> California Health and Safety Code,Div.2o,Chap.6.7 and Title 23,California Code of Regulations,Chap_16. - -
<br /> -- - c -as
<br /> Tank# Tank Record - -------- ------ ---------
<br /> m Permit# Capacity Contents Pelmu Status System Type Leak Detection
<br /> 2362 6 390002317850178506 PT0006786 550USEDOIL ACTIVE,BILLABLE DOUBLE-WALL Continuous Monitoring
<br /> 2360 7 390002317850178507 PT0007457 12,000 DIESEL ACTIVE,BILLABLE .DOUBLE-WALL Continuous Monitoring
<br /> 2360 8 390002317850178508 PT0007458 12,000 PREMIUM UNLEADED ACTIVE,BILLABLE DOUBLE-WALL Continuous Monitoring
<br /> 2360 9 390002317850178509 PT0007459 12,000 REGULAR UNLEADED ACTIVE,BILLABLE DOUBLE-WALL Continuous Monitoring
<br /> BOF�ID# g4U��,582`
<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 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 Permittee shall ensure that both
<br /> the Tank Owner and tank Operator receive a copy of the permit.
<br /> 4) Writte s Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Department(ERD)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,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 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) Construction,repair and/or removal permits are required from the FED prior to my 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 inspectionare.report anot completed by the dates) indicated.
<br /> PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s)Valid only for: NGUYEN, HUYEN BICH
<br /> Tank Owner: HUYEN BICH NGUYEN
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY.ON THE PREMISES
<br /> Regulated Facility: PERSHING GAS Facility ID FA0003994
<br /> 4445 N PERSHING AVE Account ID AR0003621
<br /> STOCKTON CA 95207 Issued 3/14/2014
<br /> Billing Address: ATTN : NGUYEN, HUYEN BICH
<br /> PERSHING GAS
<br /> 7720 LORRAINE AVE STE #110
<br /> STOCKTON CA 95210
<br /> 7023.rpt
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