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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 304 E.Weber Ave.,Third Floor• Stockton,CA 95202-2708• Phone(209)468-3420 Donna Herran, R.EH..S.., Director SAN3FWJ MnaTE.HFH &W ENCY PERMIT TO OPERATE Program Permit Permit Record ID Number Program Code and Description Valid PR0231211 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2005 To 12/3112006 Underground Storage Tank Program: California Health a_nd Safety Code,Div_20,Chap.6.7 and Title 23,California Code of Regulations,Chap, 16._______ . . ._. P/F Tank 4 Tank Record ID Permit k Capacity Contents Permit Status System Type Leak Detection 2362 10 390002312110515704 PT0014868 20,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring 2360 11 390002312110515705 PT0014869 10,000 DIESEL Active,billable DOUBLE WALLED Continuous Interstitial Monitoring 2360 12 390002312110515706 PT0014870 10,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring Underground Storage Tank Permit Conditions 1) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid soldier the UST system(s)fails to remain in compliance with these Permit Conditions. 2) In order to maintain dm 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 established by San Joaquin County. 3) If the Tank Opemtor(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 lank,the Permittee shall ensure that both the Tank Owner and tank Operator receive a copy of the permit. 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Department(END)and are eonsidererd UST Permit Conditions. The approved monitoring,response,and plot plans shall be maintained onsite with the permit. 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 more frequently if specified by the equipment manufacturer,and provide documentation of such servicing to this office. 7) In the event of a spill,leak,or other unauthorized release,the Pemwitee shall comply with the requirements of Title 23 CCR,Chap.16,An.5,and the approved Emergency Response Plan. g) Written records ofall monitoring performed shall be maintained on-site by the operator and be available for inspection for a period ofatleast three years from the dale the monitoring was performed. 9) The 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 of the 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 El D prior to any change,repair or removal of UST system equipment. 12) The Pemiinee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the date of the issuance of this 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. 14) A"Conditional"Permit maybe revoked if corrections specified on the inspection repot are not completed by the date(s) indicated. r PERMITS TO OPERATE are NOT TRANSFERABLE and may be SUSPENDED or REVOKED for cause. PERMIT(s) Valid only for: SAFEWAY INC I HIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES Regulated Facility: SAFEWAY FUEL CENTER Facility ID FA0002409 6425 PACIFIC AVE Account ID AR0004604 STOCKTON, CA 95207 Issued 2110/2005 Billing Address: SAFEWAY FUEL CENTER 5918 STONERIDGE MALL RD PLEASANTON, CA 94588-2704 7023.rpt