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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH 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 Parmit -
<br /> Record ID Number P am Code and Description Permit
<br /> Valid
<br /> PRO521716 PT001487 0-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2009 To 12/31/2009
<br /> Hazardous Wasteenerator Prooram
<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- q,_and Title 22,-Cal— -'rfo-rnia- — -- ——
<br /> Code of Regulations,Chap,20,
<br /> --- -- - -- - - ---- -- - ---- --- - - -
<br /> 0231532 2300-UNDERGROUND STORAGE TANK FACILITY 111/2009 To 12/31/2009
<br /> Underground Storage Tank Program'
<br /> California Health and Safety Code, Div.20,Chap._6.7 and Title 23,California Code of Regulations,Chap, 16.
<br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type
<br /> 2362 4 Leak Detection
<br /> 390002315320506754 PT0009046 12,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous lot e..ti ial Monitoring
<br /> 2360 5 390002315320506755 PT0009045 12,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monilarirp
<br /> Underground Storage Tank Permit Conditions
<br /> I) 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,Clap.16 and 18,as well as any conditions
<br /> established by San Joaquin County.
<br /> 3) If the Tank Opemtor(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 mnk,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 most 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 Pemunee shall comply with the monitonng 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 Tide 23 CCR,Chap. 16,An.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 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 change.
<br /> 10) Upon any change in equipment,design or operation of the UST system(including change in mink contents or usage),the Permit to Operate will be subject an review,modification or
<br /> revocation.
<br /> 11) Construction,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment.
<br /> 12) The Pemilttee shall submit an annual report documenting camphene 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 ere not completed by the dates) indicated.
<br /> PERMITS TO OPERATE are NOT TRANSFERABLE
<br /> and 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 FacilityID FA0000185
<br /> 16470 CAMBRIDGE ST AccountlD AR0000184
<br /> LATHROP CA 95330 Issued 2/4/2009
<br /> Billing Address: ATTN : B ANDERSON, LICENSES/PERMITS
<br /> CIRCLE K STORE #1205
<br /> 495 E RINCON ST STE 150
<br /> CORONA CA 92879
<br /> 7023,gX
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