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SAN JO AQUL T COUNTY ENVIRONMENTAL,HEALTH DEPARTMENT
<br /> 1868 E. Hazelton Ave. 9 Stockton, CA 95205-6232 • 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 /> PRO518528 PT0012080 2220 SMALL-QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1-/1-12013 To 12131/2013
<br /> Hazardous Waste Generator Program:
<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 /> See.25100 et seq,and Title 22,California Code of Regulations,Chap.20.
<br /> PR02314642300-UN ERGROUND STORAGE TANK FACILITY 1/1/2013 To 12/31/2013
<br /> Underground Storage Ta Pro ram:
<br /> California Health and Sa e, Div.20,Chap.6.7 and Title 23,California Code of_Regulations,Chap. 16.
<br /> P/E Tank g Tank Record ID Permit k Capacity Contents Permit Status System Type Leak Detection
<br /> 2362 5 390002314640146405 PT0004276 10,000 REGULAR UNLEADED Active,billable DOUBLE-WALL Continuous Interstitial Monitoring
<br /> 2360 6 390002314640146406 PT0004277 10,000 PREMIUM UNLEADED Active,billable DOUBLE-WALL Continuous Interstitial Monitoring
<br /> 2360 7 390002314640146407 PT0004278 8,000 DIESEL Active,billable DOUBLE-WALL Continuous Interstitial Monitoring
<br /> BOE ID#: 44045561
<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 /> '_1 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 /> eslahlishcd by San loaquin Counly.
<br /> 3) 1 f the Tank Operator(s)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 Pennittee shall ensure that both
<br /> the Tank Owner and lank Operator receive a copy of the permit.
<br /> }) 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 Pennittee shall comply with the monitoring procedures referenced in this pennit.
<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 Pennitee 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 of at 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 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 /> 1 1) Construction,repair and/or removal permits are required from the EHD poor 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 of any 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.
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<br /> PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s) Valid only for: CALIFORNIA GAS STATION LLC
<br /> Tank Owner: ROSHAN MINHAS
<br /> THIS FORI11 MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> TIGER EXPRESS STORES Facility ID FA0000914
<br /> Regulated Facility:
<br /> 1399 E YOSEMITE AVE Account ID AR0000911
<br /> MANTECA CA 95336 Issued 2/1912013
<br /> Billing Address: ATTN : CALIFORNIA GAS STATION LLC
<br /> TIGER EXPRESS STORES
<br /> 1399 E YOSEMITE AVE
<br /> MANTECA CA 95336
<br /> 7023 rpt
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