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<br /> SAN JO QUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 304 E.W bc
<br /> 7 Ave.,Third Floor• Stockton,CA 95202-2708 0 Phone(209)468-3420
<br /> Donna Heran, R.E.H.S., Director
<br /> SA JDA Q [V MCERTIFIEIT U1QIF7E "pGCtAAM`AWENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit Permit
<br /> Record ID Number Program Code nd Description Valid
<br /> PR0523588 PT0016042 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2005 To 12/31/2005
<br /> Hazardous Waste Generator Program:
<br /> der to maintain the permit to operate, liazardous Waste Generators shall comply with California Health and Safety Code,Div.20,Chap.6.5,Art.2-13,
<br /> Sec.25-QOet-s-- ----d Title 22,California ode of Re ulations,Cha _20
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<br /> PR0521604 2300-UND RGROUND STORAGE TANK FACILITY 1/1/2005 To 12/31/2005
<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 /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2362 1 390005216040515676 T0014578 30,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 2 390005216040515677 PT0014579 12,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 3 390005216040515678 PT0014580 8,000 DIESEL Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> Underground Storage Tank Permit onditions
<br /> 1) The Permit to Operate will becomevoid if Ann al 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 pemti11 the ow r 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
<br /> established by San Joaquin County,
<br /> 3) If the Tank Operator(s)is different from the Ta k 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 tank Operator receive a co y of the permit.
<br /> 4) Written Monitoring Procedures and an Emergent 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 main wined onsite with the permit.
<br /> 5) The Permittee shall comply with the monitoring p cedures referenced in this permit.
<br /> 6) The Permittee shall perform testing and prevent ve 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 Rice.
<br /> 7) In the event of a spill,leak,or other unauthorize I release,the Permitee shall comply with the requirements of Title 23 CCR,Chap.16,Art.5,and the approved Emergency Response Plan.
<br /> 8) Written records of all monitoring performed sha I 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 owner hip or operation of the UST system within 30 days of such change.
<br /> 10) Upon any change in equipment,design or operat on 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 /> 1 1) Construction,repair and'or removal permits are re uired from the El ID prior to any change,repair or removal of UST system equipment.
<br /> 12) The Pennittee shall submit an annual report docunr riling compliance with the UST Pemtit Conditions within 30 days of the date of the issuance of this permit.
<br /> 13) This Permit to Operate shall not be considered p rmission to violate any laws,ordinances or statutes of any other Federal,State or Local agency.
<br /> 14) A"Conditional'Permit may be revoked if torr ctions specified on the inspection report are not completed by the date(s) indicated.
<br /> F_ PERMITS TO OPERATE are NOT TRANSFERABLE
<br /> and may be SUSPENDED or REVOKED for cause.
<br /> .J
<br /> PERMIT(s)Valid only for: ESFANDIARY, FRED
<br /> DBA: MR CAFE
<br /> T IS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility: MR CAFE Facility ID FA0014678
<br /> 713 N EL DORADST Account ID AR0024977
<br /> STOCKTON, CA 5202 Issued 2/10/2005
<br /> Billing Address: ATTN ESFAN IARY, FRED
<br /> MR CAFE
<br /> 5969 SILVEROAK CIR
<br /> STOCKTON, CA 5219-7187
<br /> 7023.rpt
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