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SAN JOAQUIN COUNTY ENVIROIv�NvTAL HEALTH DEPARTMENT
<br /> cop
<br /> 304 E.Weber Ave.,Third Floor• Stockton, CA 95202-2708• 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 /> Permit
<br /> Program Permit Valid
<br /> Record ID .,.herProgram Code and Description
<br /> PRO521291 PT0014392 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2004 To 12/31/2004
<br /> Hazardous Waste Generator Program:
<br /> I comply with California Health and Safety Code,Div.20,Chap.6.5,Art.2-13,
<br /> In order to maintain the permit to operate,Hazardous Waste Generators shal
<br /> Sec_25100 et and seq, Title 22,California Code of Regulations,Chap._20___________________
<br /> - - -------- ----- -- ------------------ ---- ---- -------- --- ------- -------- -------
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<br /> PR0231764 2300-UNDERGROUND STORAGE TANK FACILITY 111/2004 To 12/31/2004
<br /> Underground Storage Tank Program:
<br /> California Health and Safety Code, Div__
<br /> 20,Chap.6.7 and Title 23,California Code of Regulations,Chap_16_ _ _
<br /> ______________________________ -_--_--_- --_--__--_-____--
<br /> P/E Tank Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2362 4 390002317640506375 PT0008806 12,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous interstitial Monitoring
<br /> 2360 5 390002317640506376 PT0008805 6,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Ccntinuous Interstitial Monitoring
<br /> 2360 6 390002317640506377 PT0008804 6,000 DIESEL 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 the.Permit Condition;.
<br /> 2) In order to m:;raain the operating permit,the owner and operator shall comply with the H&S C,,de.Div.20.Chap.6.7 and 6.75;and CCR,Title 23,Chap. 16 and 15.as%,ell as any conditions
<br /> established b,San Joaquin County.
<br /> 3) If the Tank O:arator(s)is different from the Tank Owner,or if the Permit to Operate is issuted 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 copy of the permit.
<br /> 4) Written%loni:aring Procedures and an Emergency Response Plan must be approved by the Emironroental Health Department(EHD)and are considererd UST Permit Conditions. The approved
<br /> monitoring.reponse.and plot plans shall be rnaintained onsite with the permit.
<br /> 5) The Permittee;Fall comply with the monitoring procedures referenced in this permit.
<br /> 6) The Permitter shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently if specified by the equipment manufacturer,and
<br /> provide doc=entation 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 Title 23 CCR,Chap.16,Art.5,and the approved Emergency Response Plan.
<br /> g) Written record;of all 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 any 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 reNiew,modification or
<br /> 11) Nf Atglbn-repair and or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment.
<br /> 12) The Pemnttee;hall submit an annual report documenting compliance with the UST Permit Condirion 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.
<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: SINGH, PHALWINDER/M &KAUR, US
<br /> DBA: WATERLOO GAS & LIQUOR MART
<br /> Tank Owner: ORLANDO, SAM B & MARILYN
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Faal'tty WATERLOO GAS & LIQUOR MART Facility ID FA0002160
<br /> 5611 WATERLOO RD Account ID AR0002171
<br /> STOCKTON, CA 95215 Issued 4/1/2004
<br /> Billing Address: ATTN : PHALWINDER SINGH & L KAUR
<br /> WATERLOO GAS & LIQUOR MART
<br /> 5611 WATERLOO RD
<br /> STOCKTON, CA 95215
<br /> 7023.rpt
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