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<br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<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 /> Program Penn][
<br /> Record ID _ Nu Program Code and Description Permit
<br /> PKI)618185 PT0011994 2220-S ALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY Valid
<br /> —m 11112011 To 1213112011
<br /> ram'
<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 seq,and Title 22,California Code of Regulations,Chap.201
<br /> --------
<br /> R0231300� . .............._______
<br /> 2300-UNDERGROUND STORAGE-TANK FACILITY 1/1/2011 To 12/31/2011
<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 /> PIE Tank# Tank Reeord ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2362 3 390002313000515100 PT0010749 9,000 REGULAR UNLEADED Active, billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 23601 4 0QF53900023113000515101 PT0010750 3,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> q'tj-�p> en r
<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 OST 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,
<br /> established by San Joaquin County. as well as any conditions
<br /> 3) If the Tank Operators)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) Written Monitoring Procedures and an Emergency Response Plan must be approved by die Euviromnental Health Department(ERD)and are considererd UST Permit Conditions. The approved
<br /> monitonng,response,mid plot plans shall be maintained onsite with the permit.
<br /> 5) The Permittee shall comply with die monitoring procedures referenced in this pennit
<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 al least three years from the dale the monitoring was
<br /> performed.
<br /> 0) The EHD shall be notified of any change in ownership or operation of[he UST system within 30 days of such change.
<br /> 10) Upon any change in equipment,design or operation ofthe 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 mmd/or removal permits are required from the EHD prior to arty change,repair or removal of UST system equipment.
<br /> 12) The Permittee shall submit an=lost report documenting compliance with the UST Penni[Conditions will in 30 days of the date of the issuance of this permit.
<br /> 13) 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 /> 14) A"Conditional'Permit may be.revoked ifeorreclions 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: LAL,JOGINDER
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY UN'I HE PREMISES
<br /> Regulated Facility: MY MINI MART Facility ID FA0001858
<br /> 1756 N WILSON WAY AccountlD AR0001864
<br /> STOCKTON CA 95205 Issued 2/4/2011
<br /> Billing Address: ATTN : LAL, JOGINDER
<br /> MY MINI MART
<br /> 1756 N WILSON WAY
<br /> STOCKTON CA 95205
<br /> 7028.rpt
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