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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 600 E. Main St. • Stockton,CA 95202-3029 • 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 /> PRO513740 PT0009935 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/112009 To 12/31/2009
<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 /> Sec.25100 at seq,-and Title 22,California Code of Regulations,Chap.20____
<br /> ---- ------- --- -------- ------------------------------------------------- ---
<br /> PR0231 00-UNDERGROUND STORAGE TANK FACILITY 1/112009 To 12131/2009
<br /> der round Stora a Tank Pro ra
<br /> Califor_ ___ _ _ e,Div. 20,Chap. and Title 23,California Code of Regulations,Chap, 16_ _ _
<br /> ----- - - —'--- ----------- -- ---------------------------------------
<br /> IP/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2372 10 3900023121f0515704 PT0014868 20,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Deminm imwalitial Monitoring
<br /> 2370 11 390002312110515705 PT0014869 10,000 DIESEL Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2370 12 39000231211p515706 PT0014870 10,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED continuous interstitial Monitoring
<br /> BOE ID#: 44.04080:",,. _
<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 Opermor(s)is different from the Tank Owner,or if the Permit to Operate is issued to person other than the owner or operator of the tank,the Permittee 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 cousidererd UST Permit Conditions. The approved
<br /> monitoring,response,and plot plans shall be maintained onsite with the permit.
<br /> 5) The Permittee 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 of such servicing to this office.
<br /> 7) In the event of a spill,leak,or other unauthorized release,the Pennines 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 EFID shall be notified of any change in owners up 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 /> 11) Construction,repair and/or removal permits are required from the EHD prior to any change,repair or removal ofUST system equipment.
<br /> 12) The Permittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the date of the issuance 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 datc(s) indicated.
<br /> PERMITS TO OPERATE are NOT TRANSFERABLE
<br /> and may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s)Valid only for: SAFEWAY INC
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility: SAFEWAY FUEL CENTER#2707 Facility G FA0002409
<br /> 6425 PACIFIC AVE AccountO AR0004604
<br /> STOCKTON CA 95207 Issued 21412009
<br /> Billing Address: ATTN : MS #6516 TAX NASC
<br /> SAFEWAY FUEL CENTER #2707
<br /> PO BOX 29096
<br /> PHOENIX AZ 85038-9096
<br /> 7023 rpt
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