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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 304 E.Weber Ave.,Third Floor• Stockton,CA 95202-2708• Phone(209) 468-3420
<br /> Donna Heran, RF-H.S., Director
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Permit
<br /> Program Permit
<br /> Record ID Number Program ode and Description Valid
<br /> PRO518706 PT001217 2220- ALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2004 To 12/31/2004
<br /> Hazardous Waste Gener for Pro ra
<br /> In order to maintain the pe it to erste,Hazardous Waste Generators shall imply with California Health and Safety Code,Div.20,Chap.6.5,Art.2-13,
<br /> Sec.25100 et seq,_and Title 22, California Code of Req_ulations,Chap.20. --------
<br /> -- _---_--.-__._-_--.----__.-----------------
<br /> PR0232355 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2004 To 12/31/200.4
<br /> Underground Storage Tank Prooram:
<br /> California Health and Safety Code,Div.20,Chap. and Title 23,California Ccde of Regulations,Chap_16. ----------------- ------------------------
<br /> ---------------------------------------------------------- -
<br /> P/E Tank# Tank Record ID Permit# Capacity Cor.w s Permit Status System Type Leak Detection
<br /> 2360 3 390002323550235503 PT0004429 8,000 REGULAR_NLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitcrrg
<br /> 2360 2 390002323550235502 PT0004427 10,000 REGULAR_`LEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitorrg
<br /> 2362 1 390002323550235501 PT0004426 10,000 REGULAR_`,LEADED Active,billable DOUBLE WALLED Continuous Interstitial Mcnitc rrg
<br /> BOE ID# 44-018763 ,� u
<br /> Underground Storage Tank Permit Conditions
<br /> 1) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not p __rd 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 shall comply with the fi&S C:•:e.Di%._0.Chap.6.7 and 6.75;and CCR.Title 23,Chap. 16 and 18,as well as any conditions
<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 i>sr�:o a person other than the owner or operator of the tank,the Permittee shall ensure that both
<br /> theTank Owner and tank Operator receive a copy of the permit.
<br /> 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the E.•-rmental Health Department(EHD)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 Permittee shall perform testing and preventive maintenance on all leak detection mo: :r-_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 a spill,leak,or other unauthorized release,the Permitee shall comply with_.e requirements of Title 23 CCR,Chap.16.Art.5,and the approved Emergency Response Pias
<br /> 8) Written records of all monitoring performed shall be maintained on-site by the operator a-c':e available for inspection for a period of at least three years from the date the monitoring w-zs
<br /> performed.
<br /> 9) The EHD shall be notified of any change in ownership or operation of the UST system within--::ays of such change.
<br /> 10) Upon any change in equipment,design or operation of the UST system(including change 7---L-,k contents or usage),the Permit to Operate will be subject to review,modification or
<br /> 1 1) MY WIbn,repair and/or removal permits are required from the EHD prior to any change,rPai or removal of UST system equipment-
<br /> 12) The Permittee shall submit an annual report documenting compliance with the UST Permit Cc,. hens 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 repon i-e not completed by the date(s) indicated-
<br /> PERMITS
<br /> ndicatedPERMITS TO OPERATE are NOT TRANSFERABLE
<br /> and may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s)Valid only for: QUIK STOP MARKETS INC
<br /> DBA: QUIK STOP MARKET#124
<br /> Tank Owner: QUIK STOP MARKETS
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility: QUIK STOP MARKETS INC#1152 Facility ID FA0000591
<br /> 1721 S CHEROKEE LN # 1 Account ID AR0000590
<br /> LODI, CA 95240 Issued 411/2004
<br /> Billing Address:
<br /> QUIK STOP MARKETS INC #1152
<br /> 4567 ENTERPRISE ST
<br /> FREMONT, CA 94538-7605
<br /> 7023.rpt
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