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<br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT ; r +
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<br /> 600 E Main St. •Stockton,CA 95202-3029 • Phone 209)46..8-342a
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<br /> Donna Heran, R.E.H.S., Director`
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<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit xermrt
<br /> Record ID Number Program Code and Description N„a {' n ar.„ �r, �'"- >^ ? 1 a '
<br /> Valid
<br /> PR0518436 PT0012019 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 'h. 1/1/2011 To 12!31!2011
<br /> Hazardous Waste Generator Program
<br /> In order to maintain the permit to operate,-Hazardous Waste Generators shall comply with California Health�Safety Code Div.20,Chap 6 ,
<br /> Sec_25100 et seq, and Title 22_California Code of Regulations,Chap.20. ?
<br /> PR0232224 2300 UNDERGROUND STORAGE TANK FACILITYr, r , ^r� ` 1/1/2011 To 12/
<br /> Underground Storage Tank Program.
<br /> California Health and Safety Code,Div.20, Chap.6.7 and Title ,daIrforrna Code of Regulations Chap 16
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<br /> P/E Tank# Tank Record ID Permit# Capacity 7iContents Permit Status System Type Leak Detection
<br /> 2362 1 390002322240222401: PT0005481 12,000 r;REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitor_
<br /> 2360 2 390002322240222402 PT0005482 12,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> '.;2360 3 390002322240222403 PT0005483 12,000 PREMIUM UNLEADED Active billable DOUBLE WALLED Continuous Interstitial Monitoring
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<br /> Underground Storage Tank Permit Conditions s err
<br /> 1) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid and/or the t7ST system(s)fails.fu remain in compliance with these Permit Conditions. wr
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<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 x
<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 Enviromnental Health Department(EHD)and are considererd UST Permit Conditions. The approved: `
<br /> monitoring,response,and plot plans shall be maintained onsite with the permit. s y
<br /> 5) The Pennittee 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"r
<br /> provide documentation of such servicing to this office. rr
<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 tie 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
<br /> IAS Upon any change in equipment,design or operation of the UST system(including change in tank contents or usages Permit to Operate will be sttb�e4to review,modification or 1
<br /> ,k,revocahon: & i
<br /> I y' Constriction,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 docmnenting compliance with the UST Pemtit Conditions within 30 days of the date of the issuance of this perPttt '
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<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, ter' v r
<br /> 14) A"Conditional"Permit may be 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 0 � 7Y
<br /> DBA: AM PM HAMMER/15 FOOD
<br /> Tank"Owner: WESLEY PARKINSON Y '`
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> + AM PM HAMMER/15 FOOD#83113 ,F r*.*€ �"ti r� ti �z�t Facility ID f{ x`
<br /> s, RQguIated Facility: r Y FA0001877,' r f
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<br /> 3250 W HAMMER LN +' p' 'tR `mss ,a bk.l ,s �4ccount ID AR0003499
<br /> STOCKTON CA 95209P Issued ,
<br /> , 2/4/2011
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<br /> Billing Address: `- - �r _ •at*,s,ir a 3r.: t 4. fr7r w,:,
<br /> AM PM HAMMER/I5 FOOD #8 3113 '
<br /> 2 ;r 3250 W HAMMER LN
<br /> r+ STOCKTON CA 95209 1
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