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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 304 E.Weber Ave,Third Floor• Stockton,CA 95202-2708 • Phone(209) 469-3420 Donna Heran,RE.H.S,Director ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Permit Program Permit Valid - Record to Number Program Code and Description PRO518609 PT0012135 2220-SM ALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2004 To 12131/2004 Hazardous Waste Generator PfOgrarl 13, 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. - Sec,25100.. seg,and Title 22,CSIIfOmla Code of Re ulatlons,Chap,.--------------- -------------'---' - 11112004 To 12/31/2004 PR0231227 2300-UNDERGROUND STORAGE TANK FACILITY Underground Storage Tank Program: 20,Cap-6.7 andTiOe23,California Code - - - California Health andSafeyodiv _ - - ' r,..,...,m Permit Status System Type Leak Detection PIE Tank# Tank Record ID Permrt# L,ap y PREMIUM UNLEADED Active billable DOUBLE WALLED c u o I terstit Mon i ng 2360 7 390002312270505681 PT0008256 12,000 MIDGRADE UNLEADED Active,billable DOUBLE WALLED continuousinterstitial M t ng 2360 6 390002312270505680 PT0008225 12,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring 2362 5 390002312270505679 PT0008224 12,000 BOEID9-. 44-032013-W-$ Underground Storage Tank Permit Conditions I) cc Fees are not paid and/or the UST systems)fails to remain in compliance with these Permit Conditions. The Permit to Operate will become void if Annual Permit Fees and Servi 2) In order to maintain the operating permit the owner and operator shall comply with the H&S Code.Div.20,Cltap.6.7 and 6.73:and CCR,Title 23,Chap.16 and I8,as well as any conditions established by San Joaquin County. 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 bot the Tank Owner and tank Operator receive a copy of the permit . The approve 4) Written Monitoring Procedures and an Emergency Response Plan most be approved by the Emimtmrenral Health Depm,,m(EHD)and are considererd UST Pemdt Conditions monitoring,response,and plot plans stall be maintained onsite with the perp it 5) The Permittee shall comply with the monitoring procedures referenced in this permit. 6) The Permittee shall perform resting and preventive maintenance on all leak detection monitoring equipment annually.or more frequently i f specified by the equipment manufacturer,and provide documentation of such servicing to this office. 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. g) 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 performed. 9) The EHD shall be notified of any 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 tank contents or usage).the Permit to Operate will be subject m review,modification or Ill C'd't9&% ,repair and/or removal pennies are required from the EHD prior to any change,repay or removal of UST sysrerts equipmonl 12) The Pemuimee shall subnot an annual report documenting compliance with the UST Pemdt Conditions within 30 days of the dare of the issuance of this pemdL 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 may be revoked if corrections 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: TOSCO NORTHWEST CO DBA: CIRCLE 76#2705449 Tank Owner: CIRCLE K STORES INC THIS FORM MUST BE BISPLAYFD CONSPICUOUSLY ON THE PREMISES Facility to FA0004033 Regulated Facility: CIRCLE K STORES INC#2705449 Account ID AR0003673 7647 PACIFIC AVE Issued 41112004 STOCKTON, CA 95207 Billing Address: TOSCO NORTHWEST CO 7647 PACIFIC AVE STOCKTON, CA 95207 7023 rpt