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SAN JOAQUIN•OUNTY ENVIRONMENTAL HEALTH DEPARTMENT 304 I»Weber Ave.,Third Floor•Stockton,CA 95202-2708• Phone(209)468-3420 Donna Hcran,R.E.H.S., Director ENVIRONMENTAL HEAR H SAN J IN PERMIT TO OPERATE Program Penni/ Record ID Numher Program Code and Description Permit Valid PRO521529 PT0014530 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 111/2003 To 12/31/2003 Hazardous Waste Generator Program, Califomi----------- at California Chap. _... .. .. . ..... ....... .... PR0232261 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2003 To 12/31/2003 Underground Storage Tank Program, California Health and Safety Cade,Div_20,Chap, and Title 23,California Code of Regulations,Chap_16. - - . "-'--- ...........................- - -------- - --" .--------------- Record .. .. ---Record ID Permit# Capacity Contents Permit Status System Type Leak Detection 2360 3 390002322610226103 PT0004130 10,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Dominuous Imersunin Monitoring 2360 2 390002322610226102 PT0004129 10,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring 2362 1 390002322610226101 PT0004128 10,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring Underground Storage Tank Permit Conditions 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. 2) In order to maintain the operating permit,die 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 established by San Joaquin County. 3) If the Tank Operator(s)is di Berenl 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 the Tank Owner and lank Operator receive a copy of the permit. 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by die Envimnmemal Health Department(ERD)and am cmnsidererd UST Permit Conditions. The approved monitoring.response,and plot plans shall be maintained onsite with the permit. 5) The Permiuc,shall comply with the monitoring procedures referenced in this pemdL 6) The Permittee shall perforin testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently ifspeciReal by the equipment manufacturer,and provide documentation of such servicing to this office. 7) In the event ofa spill,leak,or other unauthorized release,the Pemitlee shall comply with the requirements of Title 23 CCR,Chap.16,Art.5,and the approved Emergency Response Plan. 8) Written records of all monitoring performed shall be maintained on-sire by the operator and be available for inspection for a period of al least three years from the dale the monitoring was Performed, 9) The El ID shall be notified ofany change in ownership or operation of the UST system within 30 days of such change. 10) Upon any change in equipment,design or operation of the UST system(including change in lank contents or usage),the Permit to Operate will be subject to review,modification or II) MY91MIlm,repair and/or removal permits arc required from the El ID prim to any change,repair or removal of UST system equipment 12) The Permittee shall submit an annual report documenting compliance with the UST Permit Condition within 30 days of the anniversary date of the issuance ofthis Permit. 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. 14) A"Conditional"Permit maybe revoked ircoaccuons specified on the inspection report are not completed by the date(s) indicated. PERMITS TO OPERATE are NOT TRANSFERABLE and may be SUSPENDED or REVOKED for cause. PERMIT(s)Valid only for: CIRCLE K STORES INC Tank Owner: CIRCLE K CORP THIS FORM MUST BE DISPLAYED CONSPICIIOOSI,V ON THE PREMISES Regulated Facility. CIRCLE K#8671 Facility ID FA0002590 8606 THORNTON RD Account ID AR0004656 STOCKTON, CA 95209 Issued 5/2312003 Billing Address: ATTN : LICENSING DEPT DC 36 CIRCLE K #8671 PO BOX 52085 PHOENIX, AZ 95072-2085 7023.rp1 -