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<br />d SAN JOAQUIly COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br />600E Main St. • Stockton, CA 95202-3029 • Phone (209) 468-3420r K
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<br />Donna Heran, R.E.H.S., Director'
<br />ENVIRONMENTAL HEALTH
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<br />r ' SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br />PERMIT TO OPERATE
<br />Program Permit Permit
<br />Record ID Number Program Code and Description Valid
<br />PR0518326 PT0011965 2220 - SMALL QUANTITY HAZARDOUS WASTE, GENERATOR FACILITY 1/1/2009 To 12/31/2009
<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, Art. 2-13,
<br />Sec. 25100 et se, and Title 22, California Code of Regulations, Chap. 20_
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<br />PR0231216 2300 - UNDERGROUND STORAGE TANK FACILITY 1/1/2009 To 12/21/2p09
<br />Underground Storage Tank Program:
<br />California Health and Safety Code, Div. 20, Chap. and Title 23, California Code of Regulations, Chap16
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<br />TankP!E # Tank Record ID Permit # CapacityContents Permit Status System Type Leak Detection
<br />2362 11 390002312160515679 PT0014658 12,000 REGULAR UNLEADED Active, billable DOUBLE WALLED Continuous Interstitial Monitoring
<br />2360 12 390002312160515680 PT0014659 8,000 PREMIUM UNLEADED Active, billable DOUBLE WALLED Continuous Interstitial Monitoring
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<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 Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Department (EHD) and are considererd UST Permit Conditions. The approved M
<br />monitoring, response, and plot plans shall be maintained onsite with the permit. t
<br />5) The Permittee shall comply with the monitoring procedures referenced in this permit. "g
<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 s't
<br />provide documentation of such servicing to this office.
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<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 fora period of at least three years from the date the monitoring wa$, - 3
<br />performed.M,
<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 will be sub"' rmv, < .1
<br />revocation. r* Iy?a x
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<br />11 Construction, repair and/or removal emits are required from the EHD prior to an change, re au or removal of UST system a ui ment. 'A
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<br />12) The Permittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the date of the issuance of this permit. � z r
<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. v�airy %
<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: E &A CABRERA UNLIMITED, INC $
<br />DBA: PACIFIC MINI MART & GAS +
<br />` Tank Owner: WYATT FAMILY LTD PTP
<br />THIS FORM MUST BE DISPLAYERCONSPICUOUSLY ON THE PREMISES
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<br />Regulated Facility PACIFIC MINI MART &DELI &GAS* , u rA, h " Facility iD FA0002480_ F <°
<br />4511 PACIFIC AVE ' Account ID AR0004647
<br />u s T STOCKTON CA 95207 Issued 2/4/2009
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<br />Billing Address:
<br />PACIFIC+MINI MART & DELI & GAS* '>3x
<br />4511 PACIFIC AVE,
<br />STOCKTON CA 95207 sF y'
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