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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTHDEPARfMENT
<br /> 1868 E.Hazelton Ave. • 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 P Permit
<br /> Record) Number Pcpgram and Description Valid
<br /> PAM37AO PT0009935 2220-SMAUL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2014 To 12/3112014
<br /> i
<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 22,California Code of Regulations,Chap_20. _ __ __----______________________________________
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<br /> PR0231211 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2014 To 12131/2014
<br /> Underground Storage Tank Program:
<br /> California Health and Safety Code,Div.20,Chap.67 and Title 23,California Code of Regulations,Chap_16._ __ _ __ _ _ ____._
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<br /> P/E Tank Tank Record ID Pennit 9 Capacity Contents Permit Status System Type Leak Detection
<br /> 2372 10 390002312110515704 PT0014868 20,000 REGULAR UNLEADED ACTIVE,BILLABLE DOUBLE-WALL Continuous Monitoring
<br /> 2370 11 390002312110515705 PT0014869 10,000 DIESEL ACTIVE,BILLABLE DOUBLE-WALL Continuous Monitoring
<br /> 2370 12 390002312110515706 PT0014870 10,000 PREMIUM UNLEADED ACTIVE,BILLABLE DOUBLE-WALL Continuous Monitoring
<br /> BOE ID#: 44040801
<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 Code,Div.20,Chap.5.7 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 to 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 lank Operator receive a capy of the permit
<br /> 4) 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 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 ifspecified by the equipment manufacturer,and
<br /> provide documentation ofsuch servicing to this office.
<br /> 7) In the event of a spill,leak,or other unauthorized release,the Permitee shall comply with the requirements of Title 23 CCR,Chap.16,Al.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 ofthe 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) 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.
<br /> PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s)Valid only for: SAFEWAY, INC.
<br /> DBA: SAFEWAY INC
<br /> Tank Owner: STAN OLEA C/O SAFEWAY, INC.
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> SAFEWAY FUEL CENTER#2707 Facility ID FA0002409
<br /> Regulated Facility: Account lD
<br /> 6445 PACIFIC AVE AR0004604
<br /> STOCKTON CA 95207 Issued 3/11/2014
<br /> Billing Address: ATTN : SAFEWAY, INC.
<br /> SAFEWAY FUEL CENTER #2707
<br /> 6000 STONERIDGE MALL RD. /PO SOX 9070
<br /> Pleasanton CA 94588
<br /> 7023.rpt
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