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T SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.Weber Ave.,Third Floor• Stockton,CA 95202-2708• Phone(209)4683420 <br /> Donna Henan, REH.S..,Director <br /> ENVIRONMENTAL <br /> HEALTH <br /> SAN JQDUNIFIEDPROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Permit <br /> Valid <br /> Program Pernnt m Code and Description <br /> Record ID Number program To 1 213112 0 1/112003 0 3 <br /> PRO51 6609 PT0012135 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY <br /> Hazardous Waste Generator Program: <br /> California Health and Safety Code,Div.20,Chap_6.5,Art_2.13,Sec_25100.at. ... --n--Title --- California Code of Regulations,Chap:20_________________________ <br /> PR0231227 2300-UNDERGROUND STORAGE TANK FACILITY <br /> 11112003 To 12/3112003 <br /> Underground Storage Tank Program: .--__ <br /> Ca__lif_ornia Health and Safety Code,Div,20:Chap._67 and Title 23:Califomia Code of Regulations,Chap,16_-__-___-__..--.--_--------------------------------- <br /> -' - <br /> Petmlt Status System Type Leak Detection <br /> P/E Tank# Tank Record ID Permul# k.apac ry PREMIUM UNLEADED Active billable DOUBLE WALLED Cone Ile auat M ng <br /> 2360 7 390002312270505681 PT0008256 12,000 MIDGRADE UNLEADED Active,billable DOUBLE WALLED Conb ous interstitial Mon+ era <br /> 2360 6 2362 5 390002312270505679 PT0008225 12,000 12 000 REGULAR UNLEADED Active,billable DOU13LE WALLED Continuous Inlemutial Monitoring <br /> MEEFff <br /> ground Storage Tank Permit Conditions 'is to remain in compliance with mit to Operate will become void if Annual Permit Fees grid Service Fees are not paidand/or the UST s 6.7 an(d)6ta75;and CCR Title 23,Chap.b and ISe n well aso nyr conditionr to maintain Ne operating pemdt the owner and apentor sluil comply with the H&S Code,INv.20,Chap.hed by San Ioaquin Conry.ank Operalor(s)is different from the Tank Owner,or if Ne Permit to Operate is issued to a person other than the owner or operator of the tnk the Permittee shall ensure that botk Owher and tank Operator receive a copy of the pertnia Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Deparnrent(EFID)and are considererd UST Pemdt Conditions. The approved <br /> ring,response,and plot plans shall be rraintairkd onsne w'N cite pemuL <br /> 5) The Pernmee shall comply with the monitoring 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 /> and the approved Emergency Response Plan. <br /> 7) In the event of a spill,leak,or other unauthorized release,the Permtee shall comply with the requirements of Title 23 CCR Chap.16,Art.5, PP <br /> 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 <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 chnge. <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 subject to review,modification or <br /> 11) LSY 916,,repair andtor removal pcmdm are required from the EHD 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 Pemnit 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 may be revoked if corrections specified on the inspection report are 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: TOSCO NORTHWEST CO <br /> .Tank Owner: MUST CIRCLE K STORES INC <br /> THIS FORM B -' <br /> ....•r.rnxcvrrUUUbLY ON THE PREMISES <br /> Facility ID FA0004033 <br /> Regulated Facility. CIRCLE K STORES INC#5449' Account lD AR0003673 <br /> 7647 PACIFIC AVE Issued 51112003 <br /> STOCKTON, CA 95207 <br /> Billing Address: ATTN : LICENSING DEPT DC36 <br /> TOSCO NORTHWEST CO <br /> P.O. BOX 52085 <br /> PHOENIX, AZ 85072-2085 - <br /> 7023.rpt <br />