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SAN JOAQUIN coUNTY ENVIRONMENTAL HEALTH APARTMENT <br /> 304 E.Webcr Ave.,Third Floor•Sundown,CA 95202-2708• Phone(209)468-3420 <br /> Donna Heran,REH.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Program Permit Permit <br /> Record ID Number Program Code and Description Valid <br /> PRO521290 PT0014391 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2004 To 12/3112004 <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 at.seq,_and Title 22,Califomia Code of Regulations,Chap.20, _ __- <br /> --------------- ------------------------------ --- <br /> PR0231485 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2004 To 12131112004 <br /> Underground-Storage Tank Program: <br /> Califomia Health and Safety Code,Div.20,Chap.6.7 and Title 23,Califomia Code of Regulations,Chap,16_______ <br /> P/E Tank# To Record ID Permit# CapaciTy Contents Perrm Status System Type Leak Detechon <br /> 2362 4 390002314850506698 11,000 REGULAR UNLEADED ,OUT OF COMPLIANCE-No Permit 1 <br /> 2360 5 390002314850506699 4,000 DIESEL OUT OF COMPLIANCE-No Permit i <br /> 2360 6 390002314850506700 5,000 PREMIUM UNLEADED OUT OF COMPLIANCE-No Permit <br /> t rhe ..�.M .'"k \ <br /> Underground Storage Tank Permit Conditions <br /> J) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid and/or the US m s�fsil bib am in compliance with these Permit Conditions. <br /> 2) In order to maintain the operating penin,the owner and operator shall conply 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 Operetm(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) 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 <br /> monitoring,response,and plot plans shall be maintained onsite with the penrut <br /> 5) The Peminee shall comply with the monitoring procedures referenced in this pemdt. <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) Commucton,repair and/or removal recants are required from the EIB)prior to any change,repair or removal of UST system equipment. <br /> 12) The Pemdttee shall submit an annual report documenting compliance with the UST Pertmt Conditions within 30 days of the date of the issuance of this pemdt <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 if connections specified on the inspection report are not completed by the dam(s) indicated. <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: THOMAS, CHACKO <br /> DBA: EMIL'S LIQUOR&SPORTS SHOP <br /> Tank Owner: ROBERT LEASE <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility EMIL'S LIQUOR&SPORTS SHOP* Facility ID FA0000306 <br /> 1405 CALIFORNIA ST Account ID AR0000305 <br /> ESCALON, CA 95320 Issued 4/26/2004 <br /> Billing Address: <br /> EMIL'S LIQUOR & SPORTS SHOP* <br /> 1405 CALIFORNIA ST <br /> ESCALON, CA 95320 <br /> 7023.rpt. nalti renal <br />