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<br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> kR.t Y: t�'.�e✓ P F+ ,,t"�¢k� h mY j _ t .t
<br /> a r -600 E. Main St. • Stockton, CA 95202-3029 9 Phone(209)468-3420
<br /> a4 Donna Heran,R.E.H.S., Director w,; ,x 4 0
<br /> ENVIRONMENTAL HEALTH
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<br /> • ,. SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY •; _ � '
<br /> PERMIT TO OPERATE
<br /> Program Permit rc o-
<br /> Record ID Number Program Code and Description ; k= " ? Permit
<br /> Valid
<br /> PRO518577 PT0012113 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2011 TC) 12131/2011 t
<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' r
<br /> Sec_25100 et seq, and Title 22,California Code of Regulations,Ghap,20. Y s
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<br /> PR0232519 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2011 TO 12131/2011ij
<br /> California Health and Safety Code, Div.20, Chap._6.7 and Title 23,California Code of Regulations,Chap 16 r `` X ,e �
<br /> Underground Storage Tank Program: , tI
<br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> +.•
<br /> 2362 1 390002325190251901 PT0006769 12,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring "XC.
<br /> 2360 2 390002325190251902 PT0006771 12,000 MIDGRADE UNLEADED Active,billable DOUBLE WALLED Continuous interstitial Monitoring a;
<br /> 2360 3 390002325190251903 PT0006773 12,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED; Continuous Interstitial Monitoring ,
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<br /> Undergrountl Storage Tank Permit Conditions 7 *u a z3
<br /> 1) The Permit to Operate will become void if Annual Permit Fees and Service Fees'are not paid'and7or the UST system(s)fails to remain in compliance with these Permit Conditions.
<br /> 2) In order to maintain the operating permit,die owner 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 Sat Joaquin County. t
<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 but
<br /> the Tank Owner and tank Operator receive a copy of the permit.
<br /> 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 /> z` monitoring,response,and plot plans shall be maintained onsite with the permit. r
<br /> 5) The Permittee shall comply with the monitoring procedures referenced in this Demur 0010
<br /> r
<br /> 6) The Permittee shall perforin testing and preventive maintenance on all leak detection monitoring equipment`annually,orrinore frequently if specified by the equipment manufacturer,and
<br /> provide docutnentation of succi servicing to this office.
<br /> ^t .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,Art.5,,and the approved Emergency Response Plan.
<br /> r 8) Written records of all monitoring performed shall be maintained on-site by 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. 0
<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 f
<br /> revocation. Axl
<br /> 1 l) Construction,repair and/or removal permits are required from the ERE)prior to any change,repair or removal of UST system equipment:
<br /> ]2) The Permittee 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, v xw 1 µ ti r'7 1t
<br /> 14) A"Conditional"Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated.
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<br /> PERMITS
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<br /> 2 YK�
<br /> PERMITS TO OPERATE may be SUSPENDED or REVOKED for ca 06
<br /> PERMIT(S)Valid only for: JBS PETRO INC
<br /> DBA: BILL'S 76
<br /> Tank Owner: KNOX, CHRISTIAN
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<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
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<br /> BILLS 76
<br /> ' ^ FacilityID FA0000483
<br /> Regulated Facility:
<br /> 633 E VICTOR RD#A X, "w k �';t+ r 'Account ID AR0010576 f
<br /> I LODI CA 95240 r y `t x � sl �, -s.+ asF 1
<br /> ` f �'+„,v" a i r y ISSUBd 2/4/2011
<br /> i �;� < ,'� Aa�'sr �x� x it ,� .F�f :^rY�r" ,y ���NN w.r�C r.a � } •+ it x~.s+„ � 8�, r
<br /> ,y r "� +s 3 r .,, r , $ $Js .�� c. G t,�. �Y'*+, '�YYt ,,y ! fit ✓rr }:
<br /> a•-: Billing
<br /> ;> BdhngAddress: ATTN JBS PETRO INC ) r •a a "n '� ` r { s �r
<br /> ' BILLS 76
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<br /> - •s a v'E s' �s a r �-
<br /> 633 E VICTOR RD STE A
<br /> ^e LODI CA 95240
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