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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH bEPARTMENT
<br /> 304 E.Weber Ave.,Third Floor• Stockton,CA 95202-2708•Phone(209)468-3420
<br /> Dona Heran,R.EH.S.,Director
<br /> ENVIRONMENTAL HEALTH
<br /> 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 /> PRO521716 PT0014673 2220-.SfJIALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/112007 To 12/31/2007
<br /> Hazardous Waste Generator P,ro4iam:
<br /> In order to Mairdainthepermitto operate, Hazardous Waste Generators shall comply with California Health and Safety Code,Div.20,Chap.6.5,Art.2-13,
<br /> Sec:25100 et seq,and Title 22,Califomia Code of Regulations,Chap._20,_. ____ _
<br /> PR0231532 2300-UNDERGROUND STORAGE TANK FACILITY 111/2007 To 12131/2007
<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/B Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2362 4 390002315320506754 PT0009046 12,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 5 390002315320506755 PT0009045 12,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Imemti4al Monitoring
<br /> BOE'ID#: 44-00QQ
<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 sha0 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 condiments
<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 took Operator receive a copy of the permit
<br /> 4) -Written Monitoriag Procedures and an Emergency Response Plan must be approved by the Environmental Health Department(Elm)and are considererd UST Permit Conditions. The approved
<br /> monitoring,response,and plot plans shall be maintained onsite with the Permit
<br /> 5) The Permittee shall comply with the monitoring procedures referenced in this permit.
<br /> 6) The Perminee shall perform testingand 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 m 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) 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 tank contents or usage),the Permit to Operate will be subjectlo review,modification or
<br /> revocation
<br /> I l) Construction,repair and/or removal peonies are required from the EHD prior many change,repair or removal of UST system equipment.
<br /> 12) The Pemntree shall submit an must report documenting comphance 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 reportere 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: 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 2/13/2007
<br /> Billing Address: ATTN : B ANDERSON, LICENSES/PERMITS
<br /> CIRCLE K STORE #1205*
<br /> 495 ERINCON ST STE 150
<br /> CORONA- CA 92879
<br /> 7023.rpt -
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