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<br /> 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 /> SAN JOPQ Y0QVCER�FIET IED M&M AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit — Permit
<br /> Record ID Number Program Code and Description Valid
<br /> PRO521291 PT0014392 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2005 To 12/31I2004-
<br /> Hazardous Waste Generator Program: -
<br /> In order to maintain thee peftif fo_o_per_at_e,_RrzEwdous Waste Generators shall comply with California Health and Safety Code,Div.20,Chap.6.5;Art.2-13,.:.._
<br /> Sec-25100 et seq,-and Title 22,Califs rnia_Code f Regulations,Chap.20. -
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<br /> PR0231764 2300-U ROUND STORAGE TANK FACILITY 1/1/2005 To 1213112005
<br /> Underground Storage Tank Prograrti`
<br /> -"California ealth and SafetCode, Div.20,Chap. and Title 23,California Code of Regulations,Cha . 16. __,_.____:_
<br /> -------------------------------------------------------- -- --F --
<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 Continuous 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 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 /> the Tank Owner and tank Operator receive a copy of the permit. '
<br /> 4 Written MonitoringProcedures and an Emergency Res onse Plan must be approved b the Environmental Health Department EHD and are considererd UST Permit Conditions. The approved
<br /> g Y P PP Y P ( )
<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 /> 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 least three years from the date the monitoring was F'
<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 wi11 be subject to review,modification or
<br /> revocation.
<br /> 11) Construction,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment.
<br /> 12) The Permittee shall submit an annual report documenting compliance«ith 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. )
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<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, PHALWINDERIM &KAUR, LIS
<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 Facility: WATERLOO GAS & LIQUOR MART Facility ID FA0002160
<br /> 5611 WATERLOO RD Account 1D AR0002171 .
<br /> STOCKTON, CA 95215 Issued 211012005
<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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