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SAN JOAQPIN COUNTY PUBLIC HEALTH SAICES 304 E.WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 • PHONE(209)468-3420 KAREN FuRsT,M.D., M.P.H., HEALTH OFFICER DONNA HERRN,R.E.H.S.,DIRECTOR ENVIRONMENTAL HEALTH DIVISION ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Permit Program po'n"t program Code andl)esaiptim Valid Record ID Number PR0231984 2300-UNDERGROUND STORAGE TANK FACILITY 1/1101 To 12/31/01 Underargund Storage Tank Program: California Health and Safety Code Div_20,Chap_6.7 and Title 23 California Code of Regulations Chap_16__________________________ _______ P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status 2360 6 390002319840198406 PT0004205 550 NON MVF Active 2360 5 390002319840198405 PT0004204 12,000 UNLEADED Active _ 2360 4 390002319840198404 PT0004203 12,000 UNLEADED Active 2362 3 390002319840198403 PT0004202 12,000 UNLEADED Active Underground Storage Tank Permit Conditions 1) The Permit to Operate will become void if Annual Permit Fees and Service Fees am not paid and/or the UST system(s)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 I8,as wellas 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 the caner or operator of the tank,the Permittee shall ensure that both the Tank Owner and tank Operator receive a copy of the permit. 4) Written MoniloringProcedures and an Emergency Response Planmust be approved bythe Environmental Health Division(PHS/EHD)andare considerer)USTPermit Conditions. Copies of the Procedures and Emergency Response Plan must be attached to this permit in be available for review and/or inspection at the USr site. 5) The Permittee shall comply with the monitoring procedures referenced in this permit. 6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or mom frequently if specified bythe equipment menu fecturer,and provide documentation of such servicing to this office. 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 shall be maintained on-site bythe operatorand be available for inspection fora period of at least three)ears 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 ofthe UST system(including change in tank contents or usage),the Permit to Operate will be subject to review, modification or revocation. 11) 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 UST Permit Conditions within 30 days of the anniversary date ofthe 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_ l4) 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: SANDHU, GURLAL G &ANUPINDER K DBA: MANTECA LIQUOR&FOOD THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES Facility ID FA0001393 Regulated Facility: MANTECA LIQUOR& FOOD Account ID AR0001392 890 N MAIN ST Issued 3/29/2001 MANTECA. CA 95336 Billing Address: ATTN : MANTECA LIQUOR& FOOD MANTECA LIQUOR&FOOD 890 N MAIN MANTECA, CA 95336- 7023.rpt 0 0