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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 600 E. Main St. • Stockton, CA 95202-3029 a 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 _ it Permit
<br /> Record ID- Number am Code and Description a I'd
<br /> PRO513740 P 10009935 22 MALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2012 To 12/31/2012
<br /> .cram
<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 e_t seg,_and Title 22,California Code of Regulations,Chap.20_ ___
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<br /> PR0231211 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2012 To 12/31/2012
<br /> Underground Storage Tank Program
<br /> California Health and Safety Code,Div.20,Chap.6,7 and Title 23,California Code of Regulations,Chap_16.
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<br /> PIE Tank N Tank Record ID Permit#—Capacity Contents Permit Status System Type Leak Detection
<br /> 2372 10 390002312110515704 PTOU14858 20,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2370 11 390002312110515705 PT0014869 10,000 DIESEL Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2370 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 systems)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.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) Ifthe Tank Operator(s)is different from We took Owner,or ifthe 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'fank Owner and tank Operator receive a copy of the permit.
<br /> 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Envimntnental Health Department(EHD)and are considererd UST Permit Conditions. The approved
<br /> monitoring,response,and plot plans shall he mamumed 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 ufsuch servicing to this office.
<br /> 7) In the event ofa spill,leak,or other unauthorized release,the Pennitce shalt comply with the requirements of Title 23CCR,Chap.16,An.5,and the approved Emergency Response Plan.
<br /> 8) Written recordsof all monitoring performed shall be maintained on-site by the operator and be available for inspection for a period ofat least three years from the date the monitoring was
<br /> performed.
<br /> 9) The EHD shall be notified ofany 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 andror removal permits are required from the ERD 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 /> THIS FORM b1UST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility: SAFEWAY FUEL CENTER#2707 Facility ID FA0002409
<br /> 6425 PACIFIC AVE AccountlD AR0004604
<br /> STOCKTON CA 95207 Issued 2/10/2012
<br /> Billing Address: ATTN : MS #6516 TAX NASO
<br /> SAFEWAY FUEI, CENTER #2707
<br /> PO BOX 29096
<br /> PHOENIX AZ 85038-9096
<br /> 7023.rpt
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