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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E. Main St. • Stockton,CA 95202-3029 a Pbone(209)468-3420 <br /> Donna Heran,R.E.H.S., Director <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERM IT TO OPERATE <br /> Program Permit Permit <br /> RecoedlD Number Program Code and Description Valid <br /> PRO517800 PT0011719 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2011 To 12/31/2011 <br /> Hazardous Waste Generator Procram7 <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,251000 at-seq-arRfTide 22,___mia Code of Regulations Chap,20, <br /> PRO506221 UNDERGROUND STORAGE TANK FACILITY 111/2011 To 12/31/2011 <br /> �-tfidernr ank Prooram <br /> California Health and Safety Code,Div_20,Chap.6.7 and Title 23, California Code of Regulations,Cha _16. <br /> -- ---- -----------'-- - - - -p -- ----- ............................'--'-- ------'- <br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection <br /> 2362 1 390005062210506222 PT0004690 20,000 REGULAR UNLEADED Active,billable DOUBLE WALLED. Continuous Inurstaial Monitoring <br /> 2360 2 390005062210506223 PT0008689 10,000 MIDGRADE UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> 2360 3 390005062210506224 PT0008688 10,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous interstitial Monitoring <br /> BOE ID#: 44037709 <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 Opemtons)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 Perminee shall erasure that both <br /> the Tank Owner and rank 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(ERD)and are eunsidererd UST Permit Conditions. The approved <br /> monitoring,response,and plot plans shall be maintained onsite with the permit. <br /> 5) The Permi tes 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 Permhee shall comply with the requirements of Title 23 CCR,Chap.16,An.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 tory 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 EHD prior to any change,repair or removal of UST system equipment. <br /> 12) The Permittee shall submit on animal report documenting compliance with the UST Parton Conditions within 30 days of the date of the issuance of this Permit. <br /> 13) This Permit m 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 /> ----- ----------------- ___--------------------------------- ------------------ - .__------------------------------------" <br /> PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: HALLOUM, YOUSIF <br /> DBA: ARCO/SUBWAY(FLAG CITY) <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: FLAG CITY ARCO/SUBWAY Facility ID FA0007287 <br /> 14931 N FLAG CITY BLVD Account ID AR0010766 <br /> LODI CA 95242 Issued 2/4/2011 <br /> Billing Address: ATTN : HALLOUM, YOUSIF <br /> FLAG CITY ARCO / SUBWAY <br /> 14931 N FLAG CITY BLVD <br /> LODI CA 95242 <br /> 7marpt <br />