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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2200 - Hazardous Waste Program
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PR0521291
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COMPLIANCE INFO
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Last modified
5/4/2020 5:13:51 PM
Creation date
4/27/2020 12:24:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0521291
PE
2220
FACILITY_ID
FA0002160
FACILITY_NAME
BlackHawk Petroleum Inc.
STREET_NUMBER
5611
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
08710052
CURRENT_STATUS
01
SITE_LOCATION
5611 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\HW\HW_2220_PR0521291_5611 E WATERLOO_.tif
Tags
EHD - Public
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, <br /> err= <br /> V. QA UNITY MUONMENTAL HEALTH I)EPARTMENT <br /> 304Z ebcr Ave.,ThW.Fbors S4oda000,CA•95202-2708 a Phone(209)468-3420 <br /> ILLS;Olcecto <br /> Donna-l�an,:R,E r.• <br /> NVI1NIVIEI�T'AL: rEA�..1" <br /> SAN JQI gUIN e.0!IJI ITV CERTIFIED UNCI R)PRdG 11�I AG TCY <br /> PERMIT TO OPERA3'k;" <br /> Program Permit <br /> Program Code and Description - Permit <br /> Record ID Number !.:' <br /> _ Valid F,. <br /> PR0521291 PT00143'92 2220-SMALL QUANTITY.tiAZARD S W T 6ENERATOR'FACILITY /2006•'To'12/31/2606 <br /> 1/9 <br /> =Nazardous Waste Generator Program: <br /> in order to maintain the permit to operate,Hazardous Weste'Generators:shall G'omply with Califomli t Health pod POW.Cede,DN..20, .6:5,AR.2-13, <br /> ;Sec.25100 et seq and Title 22,Cailfornla,Code of Regulations qha[ 20 ------------ <br /> ------4PRf1'231764 2300 r UNDERGROUND STORAGE FACILITY 1 Y/1/2006 To 12/31/2006 <br /> Underciround Storage Tank Program. <br /> California Health and Safety Code,Div.20 Chap_S' an0.Tft1e 23 • ahfomia_Code of Regulations Chap 16___ <br /> a.- <br /> P/E Tank# Tank Record ID Permit# Capacity Contents _`. Permit Status System Type Leak Detection <br /> 2362 4 390002317640506375',:;.PT0008806 12,000 REGULAR.UNL; Active, billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> 2360 ' <br /> 5 ";.390002317640506376 PT0008801%. 6,000 REGULAR UNLlIFEf>�D Active, billable DOUBLE WALLEil Continuous Interstitial Monitoring <br /> 2360 6 39000231.7640506377 ` PT000880* 6,000 DIESEL 'Active, billable DOUBLE WALLED.`' ` Continuous Interstitial Monitoring <br /> Lnderground Storage Tank Permit Conditions , <br /> , <br /> 1) The Permit to Operate will become-void if Annual PermitFees and Service Fees are not paid'and/or'the UST:system(s)fails to remain in compliance with'these permit Conditions. <br /> f ). hr 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 Title 23,Chap.16 and 18,as well as any conditions <br /> established by,San Joaquin;County. <br /> 3). 'If the TankOperator(s)is different from the Tank owner;or if the'Permit to Operate is issuedto a person other than the�iysner i o}teraiOr of the�ahfc„I1te Peri�tttpee gll ensure that both <br /> 4he Tank Owner and tank Operator receive-a copy the permit: <br /> '*itten Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Department(EHD)and arbc6add�d IJ$TPermdt C4aditions. The approved <br /> monitoring,response, plot plans shall be maintained'onsite:with the permit: <br /> 5) The Permittee shall comply with the monitoring proeedldes'referenced in this permit ' <br /> The Permittee shall perform testing preventive maintenance.on all leak detection monitoring equipmept Annumd14-or more frequently`if specified Ib -the equipment manufacturer;and�a <br /> provide documentation of such servicing to this office. " <br /> In the evenf of aspil� or other unauthorized Yel liw.the Pe.YnHtee shall comply with the regltifements of Title 23 CCR,Chap.16,Art,5,and the approved Emergency Response Plan. <br /> ;8) Written records ofa11 monitoring perforrned.sWbe mairttained.olt-site by the operatorf anti be available fop ipspection for a period of at least three years from the date the monitoring was <br /> performed. <br /> 0), The EHD shall be ao#W. .'of airy change in ovvnw;hilp oi-operation of the UST system within 30 days of such change, <br /> 40',Upon any change ur egatpntent design or opbrauon of.the UST system'(including change i>i tank contents a U"84 the.P-ermK�o(ygerete wil l be subject to review;:modification or <br /> .: revocation +; - -. <br /> 11.) `C.onstructiok!.epaw MWOtr iem4val P��are r ���pnm to any chamge;repaa or 1 of UST sy altalttgmt' ' <br /> 1'2) •TIk Permittee.shall submitan'artnual Teport documenting compliance vhtb die UST Permit Conditions w'"30.days Pfthe d�of is9mince of this puimiiL <br /> 1.3), Tbis iormit to.Operate shall not be,c6nsidered permission to viotate�any laws,ordinances or statutes of any 40ter-F,;"-Stafe of Local agency <br /> 14} .A`�4otiditional"lremit'.maybe revoked if corrections specified off the'inspccttonseportare'not•completedby the ddtp(s}indicated <br /> PERMITS TO OPERATE are TbT TRANSFERABLE' <br /> and RMY be SUSi'OM or RE�C>�CE�'lFor cause; <br /> PERNWT(s)Valid-only,for SIN PHALWINDEtt/M AKAUR; JS <br /> 1JBi4: <br /> ; 1II�AT��tL'DO GA3'b.LrQUOR IV�A�fT - <br /> Tank Owner: QRLAN`tDQ SIAM B.! IIIIARI<kYN. , <br /> THIS FORM MUST BE DISPLAYER CONSPIGUOUSL'Y ON THE 1'REMI$ES <br /> .Regulated Facility: WATERLOO GAS& LIQUOR'MART Facility ID 1=A0002160 <br /> 5611 WATERLOO RD Account ID' AR0002171 <br /> STOCKTON -.CA 95215 Issued 2/3/2006 <br /> Billing Address: ATTN PHALWINDER SINGH & L KAUR - <br /> WATERLOO GAS & LIQUOR MART ? <br /> „. <br /> LL�L <br /> 5611 WATERLOO RD <br /> ~ STOCKTON CA, 95215 <br /> 1• <br /> i <br /> -,. . _V; <br />
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