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SAN J4��:�UIN COUNTY PUBLIC HEALTH 0,710ES 304 E. WEBER AVE.,THIRD FLOOR • STOCKrON,CA 95202 • PHOM1E (209)46$-3420 KAREN FURST, M.D., M-RH., HEALTH OFFICER DONNA HERAN,R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED]PROGRAM AGENCY PERMIT TO OPERATE Permit Program Permit Program Code andDescription Valid Record ID Number 111101 To 12/31101 PR0231300 UNDERGROUND STORAGE TANK FACILITY Underground Storage Tank Program: California Health and Safety Code Div.20,Chap_6.7 and Title-2-3_California Code of Regulations Chap._1-6. ____ _ _ __ _ _ ____ _ _ __ - -- -- -- - - - ection PIE Tank Tank Record ID Permit# Capacity Contents Permit Status System Type Leak PREMIUM UNLEADED Active ANGLE WALLED VISUAALL CHECK 230.0 4 390002313000515101 PT0010750 3,000 iSINGLE WALLED 2362 3 390002313000515100 PT0010749 9,000 REGULAR UNLEADED Active Underground Storage Tank Permit Conditions 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. 2) In order to maintain the operating permit,the permit holder 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 established by San Joaquin County. 3) If the Tank Operator(s)is different from the Tank Owner,or if the Permit to Operate is issued to a person other than time owner or operator of the tank,th a Permittee shall ensure that both the Tank Owner and tank Operator receive a copy of the permit. 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Division(PHS/EHD)and are considererd UST Permit Conditions. Copies of the Procedures and Emergency Response Pian must be attached to this permit or be available for review and/or inspection at the UST site. 5) The Permittee shall comply with the monitoring prucedures refmcnced in this permit. 6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently if specified by the equipment manu Facturer,and provide documentation ofsuch servicing to this off ice. 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. 8) Written records of all monitoring performed shag be maintained on-site by the operatorand be available for inspection fora period of at least three years from the date the monitoring was performed. 9) The PHS/EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change. 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 revocation. I l) Construction,repair and/or removal permits are required from the PHS/EHD prior to any change,repair or removal of UST system equipment. 12) The Permittee shall submit an annual report documenting compliance with the USC Permit Conditions within 30 days of the anniversarydate of the issuance ofthis permit. 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. 14) A"Conditional"Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated. PERMITS TO OPERATE are NOT TRANSFERABLE and may be SUSPENDED or REVOKED for cause. PERMIT(s)Valid only for: LAL,JOGINDER DBA: MY MINI MART Tank Owner: MATHARU, PARMJEET S THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES Facility ID FA0001858 Regulated Facility: MY MINI MART Account ID AR0001864 1756 N'k ILSON WY Issued 312912001 STOCKTON. CA 95205 Billing Address: ATTN : JOGINDER LAL MY MINI MART 1756 N WILSON WAY STOCKTON, CA 95205 7023.rpt