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<br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> y, s 600E.Main St. • Stockton,CA 95202-3029 • Phone 209 468-3420 `
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<br /> Donna Heran R.E.H.S Director' >` `'
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<br /> _ x > ENVIRONMENTAL HEALTH
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<br /> ' '° SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGE
<br /> NCYia
<br /> PERMIT TO OPERATE
<br /> Program ' Permit - Permit
<br /> Record ID Number Program Code and Description Valid
<br /> i PR051843,6 PT0012019 2220-SMALL QUANTITY HAZARDOUS WASTE GEJVEI�ATORFAQULITY 1!1/2012 To 1213112012
<br /> Hazardous Waste Generator Program:
<br /> `1�
<br /> In order to maintain the permit to operate,Hazardous Waste Generators shall corn with Odlifb Miai H66 and Safety Code,Div.20,Chap.6.5,Art.
<br /> Sec.25100 et seq,and Title 22,California Code of Replations,Chap.20: {
<br /> ----- ----- ----- - �x
<br /> PR0232224 2300-UNDERGROUND STORAGE TANK FACILITY 11112012 To 12/31/201
<br /> Underground Storage Tank Program
<br /> California Health and Safety Code,Div.20,Cha 6.7 and,Title 23 California Code of Regulafiohs Chap. 16_ - 4
<br /> Chap. — — — -- --- -----
<br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Detections
<br /> 2362 1 390002322240222401 PT0005481 12,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 2 390002322240222402 PT0005482 12,000 REGULAR UNLEADED Active,billable 4.; DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 3 390002322240222403 PT0005483 12,000 ,PR4PUM UN4EAQF_.Q Active,billable � r' DOUBLE WALLED Continuous Interstitial Monitoring
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<br /> Underground Storage Tank Permit Condi
<br /> tions 'a d, ? r Mti ry
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<br /> 1) The Permit to Operate will become void if Annual Permit Fees and Servjoe Pees'are not paidand/or fha UST systems)fails to remain in compliance with these Permit Conditions
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<br /> 2) In order to maintain the operating permit,the owner and operator shatl 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 conddibns"'
<br /> established by San Joaquin County. r$
<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 ensurqt t
<br /> both M �
<br /> the Tank Owner and tank Operator receive a copy of the permit. y�
<br /> 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Department(EHD)and are considererd Umi
<br /> ST Pert Conditions. Thea r
<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 permity, f� "� * `xF#.�"x ray` y ��> e+�y y y I .rzF { q M
<br /> b} The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually;or more frequently if specified by the equipment manufacturer,
<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 wag ax;
<br /> performed. r 2.
<br /> 9) The EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change s - M 4 "w q--
<br /> 10)
<br /> :10) Upon any change in equipment,design or operation of the UST system(including change in tank contents or usage),the Pertnnit to Operate wilt be subject to review;modification or 'i;
<br /> revocation: t
<br /> 11) Construction,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment.'' rt e 3� ; a •`3
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<br /> 12) This Permit to Operate shall not be considered permission to violate any laws,ordinances or statutes of any other Federal,State or Local agency. +r r
<br /> 3) A Conditional"Permit maybe revoked if corrections specified on the inspection report are not completed by the:date(s) indicated
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<br /> PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause,
<br /> , PERMIT(s)Valid only for: HAMMER 15 INVESTMENTS
<br /> Yet , DBA: AM PM HAMMER/15 FOOD s, �
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<br /> x 47 Tank Owner: x
<br /> WESLEY PARKINSONf
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES '
<br /> AM PM HAMMER/15 FOOD#83113 a,,�. a Facility ID
<br /> Regulated Facility: 1`� � `i x a'1 �°y It �I r sa �ry�l FA0001877 ., `
<br /> 3250 W HAMMER LN r '
<br /> ,y �.d ^^^ xAF' t rti ~i'r" .-.. F, ACCOUnt ID
<br /> f ,. r e# AR0003499
<br /> h r STQGKTON CA :952Q9:_s s a � "R° r ° �
<br /> r�g`i,"., #:,}i ',b ..�t�k Fid �,. Issued 2/10/2012:
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<br /> `b 's` �a.; AM PM HAMMER/15 FOOD #83113 , �s, d s Y `t1 ` r . #:
<br /> 3250 W HAMMER LN �
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