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SAN JOAQUi_ .OUNTY ENVIRONMENTAL HEALT. ,EPARTMENT
<br /> 304 E.Weber Ave.,Third Floor a Stodcron,CA 95202-2708•Phone(209)468-3420
<br /> Donna Heran, RF-I-LS.,Director
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TOOPERATE
<br /> -Program Permit Permit
<br /> Record ID Number Program Code and Description Valid
<br /> PRO513740 PT0009935 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2006 To 12/31/2006
<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 sect,and Title 22,Califomia Code of Regulations,Chap.20__ _ __ _
<br /> PRO231211 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2006 To 12/31/2006
<br /> Underground Storage Tank Program:
<br /> California Health and Safety Code,Div.20,Chap._6.7 and-Title--23-,-Califomia Code of Regulations,_Chap,16. _ -_ _
<br /> P/E _Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2362 10 390002312110515704 PT0014868 20,000 REGULAR UNLEADED Active, billable DOUBLE WALLED Continuous Inte,Mflial Monitoring
<br /> 2360 11 -390002312110515705 PT0014869 10,000 DIESEL Active,billable DOUBLE WALLED continuous Interstitial Monilonng
<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 UST system(s)fails to remain in compliance with these Permit Conditions.
<br /> . 2) N order to maintain the operating permit,the owner and operator shall comply with the H&S Code„Div.20,Chap.67 and 6.75;and CCR Title 23,Chap. 16 and 18,as well as my conditions
<br /> established by San Joaquin County. - - -
<br /> 3) If the Tank Opertor(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 rank,the Permittee shall ensure that both
<br /> the Tank Owner and.tank Operator receive a copy of the permit.
<br /> 4) Written Monitoring Ropedums 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 if specified by the equipment mangfacturer,and
<br /> - provide documentation of such 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 Tide 23 CCR,Chap.16,Art 5,and the approved Emergency Response Plan.
<br /> 8) Written records of'sll 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 my 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 my change,repair or removal of UST system equipment.
<br /> 12) The Pemunee shall submit an annual report documenting compliance with the UST.Permit Conditions within 3(1 days of the dare 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 date(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 /> TIM FORM MUST BE DISPLAYED CONSPICUOUSLY dN THE PREMISES
<br /> Regulated Facility: SAFEWAY FUEL CENTER#2707 Facility ID FA0002409
<br /> 6425 PACIFIC AVE Account ID AR0004604
<br /> STOCKTON CA 95207 Issued 2/3/2006
<br /> Billing Address: ATTN : MS #6516 TAX NASC
<br /> SAFEWAY FUEL CENTER #2707
<br /> PO BOX 29696
<br /> PHOENIX AZ 65038-9096
<br /> 7023.rpt -
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