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SAN JOAQUL I COUNTY ENVERONMENTAL HEALTH DEPARTMENT
<br /> 1868 E. Hazelton Ave. • Stockton,CA 95205-6232 a 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 Permit Permit
<br /> Record ID Number Program Code and Description Valid
<br /> ---PRO518590 T0013429-2220-=SMALL-QUANTtTYA4AZARBOUS-WASTE-GENERATORFACiLiTi�----- ---1/112013 To—W31P2013
<br /> azar ous ante enera or ro ram:
<br /> In order to maintain the permit too erate,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 2 all rnia Coded Regulations,Chap.20, -__--_--__ .-_-_----_-,---------__-.....-...-_.. ------
<br /> PRO506724 2300 UNDERGROUND STORAGE TANK FACILITY 1/1/2013 To 12/3112013
<br /> Under round Storage Tan Pro r
<br /> California Health and Safqytqcle, Div.20,Chap.6.7 and Title 23,California Code or Regulations,Chap. 16. - --------------_. --------- ------
<br /> ------------
<br /> — — —
<br /> F77F Tank 4 Tank Record ID Permit pCapacity Contents Permit Status System Type Leak Detection
<br /> 2362 1 390005067240506725 PT0009029 12,000 REGULAR UNLEADED Active,billable DOUBLE-WALL Continua..Interstitial Monitoring
<br /> 2360 2 390005067240506726 PT0009030 6,000 PREMIUM UNLEADED Active,billable DOUBLE-WALL Continuous Interstitial Monitoring
<br /> 2360 3 390005067240506727 PT0009031 6,000 DIESEL Active,billable DOUBLE-WALL Continuous Interstitial Monitoring
<br /> BOE ID#: 44044981
<br /> Underground Storage Tank Permit Conditions
<br /> I) 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 Operators)is different from the Tank Owner,or ifthe Permit to Operate is issued to a person other than the owner or operator of the tank,the Perninee 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 permit.
<br /> 5) The Pemrinee 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 ofsuch 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 oral 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 ofdre 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) This Permit to Operate shall not be considered permission to violate any laws,ordinances or statutes ofany other Federal,State or Local agency.
<br /> 13) 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 may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s) Valid only for. SINGH, SANDEEP;GILL, JIVTESL
<br /> Tank Owner: SANDEEP SINGH/JIVTESH GILL
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> WINE COUNTRY STATION/7-ELEVEN Facility ID FA0007594
<br /> Regulated Facility 1111 E KETTLEMAN LN Account l0
<br /> AR00122$0
<br /> LODI CA 95240 Issued 2/19/2013
<br /> Billing Address. ATTN : SINGH, SANDEEP; GILL, JIVTESL
<br /> WINE COUNTRY STATION/7—ELEVEN
<br /> 1111 E KETTLEMAN LN
<br /> LODI CA 95240
<br /> 7023 rpt
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