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SAN JOAQUver COUNTY ENVIRONMENTAL HEALJ,-�DEPARTMENT
<br /> 600 E.Main St. • Stockton, CA 95202-3029 • Phone(209)468-3420
<br /> Donna Heran,R.E.H.S., Director
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program -Famm
<br /> Record Il)/ Number ProHam C d Description Permit
<br /> 2220 _yL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY Valid
<br /> Hazardou Waste G neral ramo 12/
<br /> 31/2011
<br /> In order to main atn 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-t and Title 22, California Code of Regulations,Chap,20, _
<br /> PRO231532 2300-UNDERGROUND STORAGE TANK FACILITY
<br /> Underground Storage Tank Program, 111/2011 To 12/3112011
<br /> California Heal— 9th and Safety Code,Div.20,Chap.6.7 and Title 23,California_Code of Re ulations,Cha : 16_
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<br /> P/E Tank# Tank Record ID Permit# .CapacityContents Permit Status System T
<br /> 2362 4 390002315320506754 PT0009046 12,000 REGULAR UNLEADED YPe Leak Detection
<br /> 2360 5 390002315320506755 PT0009045 12,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> EOE ID#: 44032073 - Active,billable DOUBLE WALLED Continuous lmarsnua r4«,u«6g
<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 perrrut,the owner and operator shall comply with the H&S Code,Div.20,Chap.6.7 and 6.75;and CCR,Tide 23,Chap.16 and 18,as well as any conditions
<br /> established by San Joaquin County.
<br /> 3) If the Tank Opermor(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
<br /> monitoring,response,and plot plans shall be maintained onsite with the permit.
<br /> 5) The Pemtittee 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,An.5,and the approved Emergency Response Plan.
<br /> 8) wrformedcords 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
<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 subject to review,modification or
<br /> revocation.
<br /> 11) Construction,repair and/or removal permits are required from the EHD prior to my change,repair or removal of UST system equipment.
<br /> 12) The Permittee shall submit an arcual report documenting compliance with 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.
<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 may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s)Valid only for: CIRCLE K STORES INC
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility: CIRCLE K STORE#1205 Facility ID FA0000185
<br /> 16470 CAMBRIDGE ST Account ID AR0000184
<br /> LATHROP CA 95330 Issued 2/23/2011
<br /> Billing Address: ATTN : H ANDERSON, LICENSES/PERMITS
<br /> CIRCLE K STORE #1205
<br /> 255 E RINCON ST STE 100
<br /> CORONA CA 92879
<br /> 7023.not
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