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SAN JOAQCOUNTY PUBLIC HEALTH SERJCES I <br /> 304 E.WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 • PHON 09)468-3420 <br /> KAREN FuRsT,M.D., M.P.H., HEALTH OFFICER <br /> DONNA HERRN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION , <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Program <br /> ermd ermd <br /> Record ID Number Program Code and Description Valid <br /> PR023198 2300-UNDERGROUND STORAGE TANK FACILITY 111100 To 12131100 <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 /> .._ -- - _ -- - - - - - - - - -- - - - - - - - - - - - ----- - - - -- - - ------- -- - -- - -- -. <br /> n n K ecor ennuR Capacity Come r i Status <br /> Active <br /> 2360 5 390002319840198405 PT0004204 12,000 UNLEADED Active <br /> 2360 4 390002319840198404 PT0004203 12,000 UNLEADED Active <br /> 2360 3 390002319840198403 PT0004202 12,000 UNLEADED Active <br /> POE IDC 44 024950-"'^"? <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 <br /> these Permit Conditions. <br /> 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,Tide 23,Chap. 16 and <br /> 18,as well as any conditions established by San Joaquin County. <br /> 3) If the Tank 0crator(s)is different fmnr the Tank Owner,or if the Permit to Operate is issued to a person otter than the owner or operator of the tank,the <br /> Permittee shall ensure that both 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 Division(PHS/EHD)and are considererd <br /> UST Penn it Conditions. Copies of the Procedures and Emergency Response Plan most be attached to this permit or be available for review and/or inspection <br /> 5) �Irc"5'e Tutu 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 annual ly,or more frequently if specified by the <br /> equipment manufacturer,and provide documentation of such servicing to this office. <br /> 7) In the event of spill,leak,or other unauthorized release,the Pemtitee shall comply with the requirements of Title 23 CCR,Chap. 16,Art.5,and the <br /> 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 <br /> from the date the monitoring was performed. <br /> 9) The PHS/EHD shall be notified of any 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 wage),the Permit to Operate will be subjectto <br /> review,modification or revocation. <br /> 11) Construction,repair and/or removal permits are required from the PHS/EHD prior to any change,repair or removal of UST system equipment. <br /> 12) The Permittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the anniversary date of the issuance <br /> 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: SANDHU, GURLAL G &ANUPINDER K <br /> DBA: MANTECA LIQUOR& FOOD <br /> '['HIS FORM MAST BE DISPLAYED CONSPICUOUSLY ON TIIE PREMISES <br /> Regulated Facility: MANTECA LIQUOR& FOOD Facility ID FA0001393 <br /> 890 N MAIN ST Account ID AR0001392 <br /> MANTECA, CA 95336 Issued 101912000 <br /> Billing Address: ATTN : MANTECA LIQUOR & FOOD <br /> MANTECA LIQUOR & FOOD <br /> 890 N MAIN <br /> MANTECA, CA 95336 <br /> 7023.rpt • <br /> 0 <br />