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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E. Hazelton Ave. • Stockton, CA 95205-6232 • Phone(209) 468-3420 Donna Heran,R.E.H.S.,Director ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Program Permit Record lD Number Program Code and Description - Permit Valid PR0518185 - PT0011994 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2013 To 12/711201-3 Hazardous Waste Generator Program' - 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, - Sec.25100 et-seq and Title 22,California Code ofeg Rulations,Chap.20, PR0231300 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2013 To 1213112013 Underground Storage Tank Program' California Health and Safety Code:Div.20,Chap.-6.7 and Title 23, California Code of Regulations,Chap_16. - -------------------------- P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection 2362 3 390002313000515100 PT0010749 9,000 REGULAR UNLEADED Active,billable DOUBLE-WALL Continuous Itarslitial Monitodng - 2360 4 390002313000515101 PT0010750 3,000 PREMIUM UNLEADED Active, billable DOUBLE-WALL Continuous Interstitial Monitoring BOE ID#: 44045535 Underground Storage Tank Permit Conditions 1) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid and/or the UST systems)fails to remain incompliance with these Permit Conditions. 2) In order to maintain the operating permit,the owner and operator shall comply with the H&S Cade,Div,20,Chap.6.7 and 6.75;and CCR,Title 23,Chap.16 and 18,as well as any conditions established by San Joaquin County. 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 the Tank Owner and lank Operator receive a copy of the permit 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Department(EHD)and are considererd UST Permit Conditions. The approved monitoring,response,and plot plans shall be maintained onsite with the permit. 5) The Permittee shall comply with the monitoring procedures referenced in this permit. 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 provide documentation of such servicing to this office. 7) In the event of a spill,leak,or other unauthorized release,the Pennitee shall comply with the requirements of Title 23 CCR,Chap. 16,Art.5,and the approved Emergency Response Plan. 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 performed. 9) The EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change. 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 revocation It) Constmction,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment. 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. 13) A"Conditional'Permit may be revoked if connections specified on the inspection report are not completed by the dates) indicated. PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause. PERMIT(s)Valid only for: LAL, JOGINDER Tank Owner: JOGINDER LAL THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES Regulated Facility: MY MINI MART FacilitylD FA0001858 1756 N WILSON WAY Account ID AR0001864 STOCKTON CA 95205 Issued 2/1912013 Billing Address: ATTN LAL, JOGINDER MY MINI MART 1756 N WILSON WAY STOCKTON CA 95205 7023.not