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I P/E Tank # CERS Tank ID Permit # Capacity Contents DIESEL IN COMPLIANCE DOUBLE-WALL Continuous Monitoring 1/1/2020 To 12/31/2020 Permit Status System Type Leak Detection Permit Valid 2360 2 10181455-001 CDTFA (BOE) ID# 44007738 PT0005055 20,000 S44N JOUUIN 177"141 '11.-( Environmental Health Department Kasey Foley, REHS, Interim Director SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE This permit is valid for Permit Status identified as "IN COMPLIANCE" Program Record ID Program Code and Description PRO231820 2300 - UNDERGROUND STORAGE TANK FACILITY Underground Storage Tank Program: California Health and Safety Code, Div. 20, Chap. 6.7 and Title 23, California Code of Regulations, Chap. 16. Underground Storage Tank Permit Conditions The Permit to Operate will become void &Annual Permit Fees and Service Fees are not paid and/oi the UST system(s) fails to remain in compliance with these Permit Conditions. 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 established by San Joaquin County. 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 the Tank Owner and tank Operator receive a copy of the permit. Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Department (EHD) and are considererd UST Permit Conditions. The approved monitoring, response, and plot plans shall be maintained onsite with the permit. The Permittee shall comply with the monitoring procedures referenced in this permit. 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 provide documentation of such servicing to this office. 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. 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 performed. The EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change. 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 revocation. Construction, repair and/or removal permits are required from the EHD prior to any change, repair or removal of UST system equipment. This Permit to Operate shall not be considered permission to violate any laws, ordinances or statutes of any other Federal. State or Local agency. A "Conditional" Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated. PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause. PERMIT(s) Valid only for: DBA: Tank Owner: SUPERVALU UNIFIED GROCERS INC UNIFIED GROCERS Regulated Facility SUPERVALU 1990 N PICCOLI RD STOCKTON CA 95215 Billing Address: SUPERVALU GLENN KING 1990 PICCOLI Stockton CA 95215 CERS ID 10181455 Facility ID FA0003826 Account ID AR0003414 Issued 1/8/2020 7124.rpt .1868 L1-lazelton Avenue Stockton, California 95205 I T 209-468-3420 I F 209 464-0138 I ww.sjcehd.com