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ti <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.Willer Ave.,Third Floor•Suxkwn,CA 95202-2708•Phone(209)468-3420 <br /> Donna Hetan,RE.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 <br /> Valid <br /> PRO513740 PT0009935 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2007 To 12/31/2007 <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 et seq,and Title 227rmadeofRegulations,Chap_20, _ __---------------- — ------------------------------------------------------------------------------ <br /> PR0231211 23GROUND STORAGE TANK FACILITY 111/2007 To 12/3112 0 07 <br /> Under round Stora ank Pro Califomia Health ,n .Safety Cohap.6.7 and Title 23,Califomia Code of Regulations,Chap,16__ _ _ ____ _ _ __ _--- ---------- --- -------- <br /> P/E Tank ord ID Permit# Capacity Contents Permit Status System Type Leak Detecgon <br /> 2362 10 390002312110515704 PT0014868 20,000 REGULAR UNLEADED Active;billable DOUBLE WALLED Continuous Interstitial Manton a <br /> 2360 11 390002312110515705 PT0014869 10,000 DIESEL Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> 2360 12 390002312110515706 PT0014870 10,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <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 LIST system(s)fails m remain in compliance with these PermitCondiliom. <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 Operator(s)is different from the Tank Owner,or if the Permit in Operate is issued to a 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) Wrinea Monitoring Procedures and an Emergency Response Plan most 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 Perminee 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 unauthorised release,the Permitee shall comply with the requirements of Title 23 CCR,Chap.16,Art 5,and the approved Emergency Response Plan. <br /> 9) 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 /> It) Construction,repair and/or removal permits are required from the EHD prior to my change,repair or removal of UST system equipment <br /> 12) The Permidee 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 my laws,ordinances or statutes of my 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 dam(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 ID FA0002409 <br /> 6425 PACIFIC AVE Account ID AR0004604 <br /> STOCKTON CA 95207 Issued 2/13/2007 <br /> Billing Address: ATTN : MS #6516 TAX NASC <br /> SAFEWAY FUEL CENTER #2707 <br /> PO BOX 29096 <br /> PHOENIX AZ 85036-9096 <br /> 7023.rp1 <br />