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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 304 E.Weber Ave.,Third Floor• Stndaon,CA 95202-2705• Phone(209)468-3420
<br /> Donna Hems,R.EH.S.,Director
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> AMENDED PERMIT TO OPERATE
<br /> Program Permit Permit
<br /> Record ID Number Program Code and Description Valid
<br /> PRO613740 PT0009935 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2005 To 12/31/2005
<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 _Cali_fomia Code of Regulatlons_Chap,20__.
<br /> PR0231211 230 UNDERGROUND STORAGE TANK FACILITY 1/1/2005 To 12131/2005
<br /> Underground Stora a nk Pro ra
<br /> California Health and afety Code, Div.20,_Chap.6.7 and Title 23,_California Code of Regulations,Chap_16,________.___.
<br /> ...------' ---- -- --. .. 29,_Cha- '-- -- -- --------------
<br /> P/E Tank T k Record ID Permit 4 Capacity Contents Permit Status System Type Le Detection
<br /> 2362 10 390002 2110515704 PT0014858 20,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 11 3 0002312110515705 PT0014869 10,000 DIESEL Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 12 399k0023121)A515706 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 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 Cade,Div,20,Chap.6.7 and 6.75;and CCR,Tide 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 to Operate is issued to a person other than the owner or operator of the tank,the Perminee 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 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 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 Permutes shall comply with the requirements of Title 23 CCR,Chap,16,An 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 /> 11) Construction,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment.
<br /> 12) The Perrimee 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"Conditionad"Permit may be revoked if corrections specified on the inspection report are not completed by the dates) indicated.
<br /> PERMITS TO OPERATE we NOT TRANSFERABLE
<br /> and may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s)Valid only for: SAFEWAY INC
<br /> TBIS 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 7/1/2005
<br /> Billing Address:
<br /> SAFEWAY FUEL CENTER 02707
<br /> 5918 STONERIDGE MALL RD
<br /> PLEASANTON CA 94588-2704
<br /> 7o23.rpt
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