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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.Weber Ave.,Third Floor•Sbodtton,CA 95202-2708• Phone(209)468-3420 <br /> Donna Horan, REH.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Program Pem it Permit <br /> Record ID Number Program Code and Description Valid <br /> PRO518887 PT0012248 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2003 To 12/31/2003 <br /> Hazardous Waste Generator Prooram, <br /> Callfomia Health and Safety Code,Div.20,Chap.6S,Art_2.13,_Se c.25100 et seq,and Title 22:California Code of Regulations,Chap.20. <br /> PR0231175 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2003 To 12/31/2003 <br /> Undemround Storage Tank Program' <br /> California Health and Safely Code,Div.20,Chap.6.7 and Title 23,Califomia Code of Regulations,Chap: 16. <br /> '-------..'.-'.....--------- -'.'----'. ..................`----........ .--'- <br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection <br /> 2380 8 390002311750117508 PT0005524 10,000 PREMIUM UNLEADED Cndllional DOUBLE WALLED Continuous Inlersnllal Monitoring <br /> 2380 7 390002311750117507 PT0005523 10,000 MIDGRADE UNLEADED Conditional DOUBLE WALLED Continuous Interstitial Monimring <br /> 2362 6 390002311750117506 PT0005522 10,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> Underground Storage Tank Permit Conditions <br /> 1) The Persil 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 per WL 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 /> esublished by San Joaquin County. <br /> 3) If the Tank Operator(s)is di fferent from the Tank Owner,or i f the Permit to Operate is issued to a person other than the owner or operator of the unk,the Permittee shall ensure that both <br /> the Tank Owner and unk Operator receive a copy of the permit. <br /> 4) Written Monitoring Procedures and an Emergency Response Plan most be approved by the Enimnmenul Health Depamnent(EHD)and arc considererd UST Pemdt Conditions. The approved <br /> monitoring.response,and plot plans shall be maintained onsite with the permit- <br /> 5) The Pemdlsee shall congly with the monitoring procedures referenced in this permit. <br /> 6) The Permillee 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 spill.Ink,or other unauthorized release,the Permilm 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-sire by the operator and be available for inspection for a period of at least three years from the dale the monitoring was <br /> performed. <br /> 9) The EFD 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 unk contents or usage),the Permit to Operate will be subject to review,modification or <br /> 11) I!V0iAgI1 n,repair and/or removal permits are required from the EfD prior to any change,repair or removal of UST system equipment. <br /> 12) The Permittee shall submit an annual report documenting compliance with the UST Persil Conditions within 30 days of the anniversary 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,Stale or Local agency. <br /> 14) A"Conditional"Permit maybe revoked ifcorections specified on the inspection mpom are not completed by the date(s) indicated. <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED of 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/76 STATION #5445 Facility lD FA0001247 <br /> 1206 E MARCH LN Account ID AR0003505 <br /> STOCKTON, CA 95210 Issued 511/2003 <br /> Billing Address; ATTN : LICENSING DEPT DC 36 <br /> CIRCLE K STORE/ 76 STATION #5445 <br /> PO BOX 52085 <br /> PHOENIX, AZ 85072-2085 <br /> 7o23.rp1 <br />