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<br /> .. SAN JOAQUIN COUNTY ENVIRONMENTAL HEAL'T'H DEPARTMENT
<br /> 304 E.Weber Ave.,Third Floor• Stockton,CA 95202-2708•Phone(209)468-3420
<br /> Dolma Heran,RET-LS., Director
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> program Permit Permit .
<br /> Rccord ID Number Program Code and Description Valid
<br /> PR0517800 PT0011719 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2004 To 1 2131/2 0 0 4
<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 et seg,_and Ttle 22,California Code of Regulators,Chap.20- - - ---------------
<br /> PRO506221 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2004 To 12131/2004
<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 /> RE Tank# Tank Record ID Permit# Capacity Commrs Permit Status System Type Leak Detection
<br /> 2362 1 390005062210506222 PT0008690 20,000 REGULAR UNLEADED Active,billable DOUBLE WALLED continuous Interstitial Mn4ta,ng
<br /> 2360 2 390005062210506223 PT0008689 10,000 REGULAR UNLEADED Active,billable DOUBLE WALLED continuous interstitial ktomitorrg
<br /> 2360 3 390005062210506224 PT0008688 10,000 REGULAR UNLEADED Active,billable DOUBLE WALLED continuous Intemitiai ii,ki ng
<br /> BOE 100..:44-037709`.'
<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 systems)fails to remain in compliance with these Permit Conditions.
<br /> 2) In order to maintain the operating pemu4 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 Couny.
<br /> 3) If the Tank Operator(s)is different from the Tank Owner,or if the Permit to Operate is w.>ed to a person other than the owner or operator of the tank,the Permittee shall ensure that born
<br /> the Tank Owner and tank Operator receive a copy of the permit.
<br /> 4) a note Monitoring Procedures and an Emergency Response Plan must be approved by the Esiroamenal Health Depamnent(EHD)and are considererd UST Pemtit Conditions. The app i%ed
<br /> monitoring.response,and plot plans shall be maintained onsite with the permit.
<br /> 5) T;s Pemdmee shall comply with the monitoring procedures referenced in this permit
<br /> 6) Pc Permittee shall perform testing and preventive maintenance on all leak detection moeimring 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 unauthodaed release,the Permitee shall comply with me requirements of Title 23 CCR,Chap.16,An.5,and the approved Emergency Response P'av
<br /> g) 11"ririen 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 w as
<br /> performed.
<br /> 9) The EHD shall be notified of any change in ownership or operation of the UST system within i0 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 /> 11) C;iIffd6L4lbn,repair and/or removal pemdts are required from the EHD prior to any change,repair or removal of UST system equipment-
<br /> 12) The Pemdtree shall submit an annual open documenting compliance with the UST Pemhit Conditions within 30 days of the data 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 if corrections specified on the inspection report are 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 AM/PM (FLAG CITY)
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility. FLAG CITY ARCO AM/PM Facility ID FA0007287
<br /> 14931 N FLAG CITY BLVD Aoonunt lD AR0010766
<br /> LODI, CA 95242 Issued 4/1/2004
<br /> Billing Address:
<br /> FLAG CITY ARCO AM/PM
<br /> 14931 N FLAG CITY BLVD
<br /> LODI, CA 95242
<br /> 7023 roc NMI, ..r
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