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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br />304 E. Weber Ave., Third Floor • Stockton, CA 95202-2708 • Phone (209) 468-3420
<br />Donna Heran, RE.H.S., Director
<br />revocation.
<br />11) Cor. struction, repair and/or removal permits are required from the EHD prior to any change, repair or removal of UST system equipment.
<br />12) The Pennittee 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.
<br />14) A "Conditional' Permit may be revoked if corrections specified on the inspection report are not completed by the dates) indicated.
<br />PERMITS TO OPERATE are NOT TRANSFERABLE
<br />and may be SIJSPENDED or REVOKED for cause.
<br />PERMIT(s) Valid only for: GRAFFIGNA, PETE & BILL
<br />DSA: FLAME LIQUORS INC
<br />Tank Owner: GRAFFIGNA & GRAFFIGNA
<br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br />Regulated Facility: FLAME MINI MART
<br />'1301 W KETTLEMAN LN
<br />LODI, CA 95242
<br />Billing Address:
<br />FLAME MINI MART
<br />1301 W KETTLEMAN LN
<br />LODI, CA 95242
<br />7023.rpt
<br />Facility ID FA0000392
<br />Account ID AR0000391
<br />Issued 2/1012005
<br />SAN JAQ�FIE M AGENCY
<br />PERMIT TO OPERATE
<br />Program Permit Permit
<br />Record ID Number Program Code and Description Valid
<br />w
<br />PR0518926 PT0012258 2220 - SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2005 To. 12/31/2005..
<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, At. 2-13,
<br />Sec. 510q etseq,_and Title 22, Callforn_ _Code of Regulations, Chap. 20_ _----------------------------------------------
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<br />PRO 242 2300 - UNDERG UND STORAGE TANK FACILITY 1/112005 To 12/31/2005
<br />U raround Storage Tank Program:
<br />Ca lifornla-ffiea4tl�-a A Safety Code, Div. 20, Chap. 6.7 and Title 23, California Code of Regulations, Chap_ 16. ______________
<br />- ---- -- -
<br />-T--- --- ----
<br />P/E Tank # Tank Record ID Permit # Capacity Contents Permit Status System Type Leak Detection
<br />2362 4 390002313420507802 PT0009311 20,000 REGULAR UNLEADED ;active, billable DOUBLE WALLED Continuous Interstitial Monitoring
<br />2360 5 390002313420507803 PT0009312 10,000 PREMIUM UNLEADED Active, billable DOUBLE WALLED Continuous Interstitial Monitoring
<br />2360 5 390002313420507804 PT0009313 10,000 PREMIUM UNLEADED Active, billable DOUBLE WALLED Continuous Interstitia! Monitoring
<br />BOE ID#_ 44024656'K?
<br />_
<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 andior the UST system(s) 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, 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 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 both
<br />r
<br />the Tank 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 Environmental Health Department (EI -ID) and are considererd UST Permit Conditions. The approved.
<br />monitoring, response, and plot plans shall be maintained 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 if specified by the equipment manufacturer, and
<br />provide documentation of such servicing to this office.
<br />iv
<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 />8) Written records of all monitoring performed shall be maintained on-site by the operator and be available for inspection for a period of at Ieast three years from the date the monitonng was
<br />performed.
<br />9) The EFID shall be notified of any change in ownership or operation of the UST system within 30 days of such change.
<br />a
<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) Cor. struction, repair and/or removal permits are required from the EHD prior to any change, repair or removal of UST system equipment.
<br />12) The Pennittee 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.
<br />14) A "Conditional' Permit may be revoked if corrections specified on the inspection report are not completed by the dates) indicated.
<br />PERMITS TO OPERATE are NOT TRANSFERABLE
<br />and may be SIJSPENDED or REVOKED for cause.
<br />PERMIT(s) Valid only for: GRAFFIGNA, PETE & BILL
<br />DSA: FLAME LIQUORS INC
<br />Tank Owner: GRAFFIGNA & GRAFFIGNA
<br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br />Regulated Facility: FLAME MINI MART
<br />'1301 W KETTLEMAN LN
<br />LODI, CA 95242
<br />Billing Address:
<br />FLAME MINI MART
<br />1301 W KETTLEMAN LN
<br />LODI, CA 95242
<br />7023.rpt
<br />Facility ID FA0000392
<br />Account ID AR0000391
<br />Issued 2/1012005
<br />
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