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4 ° <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPp,RTMENT <br /> 304 E.Weber Ave.,Third Floor• Stockton,CA 95202-2708• Phone(209)463-342.0 � <br /> Donna Heran,R-E.H�.S.,Director <br /> IN C TY' <br /> SAN 14QUWFIEII LINTFIE�AOU' T AGENCY <br /> PERMIT TO OPERATE <br /> Program Permit Permit <br /> Record ID Number Program Code and Description Valid <br /> PRO231130 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2005 To 12131/2005 <br /> Underground Storage Tank Program: <br /> California Health and Safety Code,Div_20,Chap_6 7 and Title 23,California Code of Regulations,Chap. 16_____ <br /> -- ------------------------------------------ ------ <br /> 7�ank# Tank Record 1D Permit# Capacity Contents Permit Status System Type Leak Detection <br /> 2362 4 390002311300113004 PT0004472 10,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> 2360 5 390002311300113005 PT0004474 10,000 MIDGRADE UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> 2360 6 390002311300113006 PT0004475 8,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> Underground Storage Tank•Permit Conditions <br /> 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. <br /> 2) In order to maintain the operating permit,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 /> 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 issued to a person other than the owner or operator of the tank,the Permittee shall ensure that both <br /> the Tank Owner and tank Operator receive a copy of the permit. <br /> 4) Witten Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental 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 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 a spill,leak,or other unauthorized release,the Permitee shall comply with the requirements of Title 23 CCR,Chap.16,Art.5,and the approved Emergency Response Plan, <br /> 81 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 change. <br /> ;0) 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 /> revocation. <br /> 1 1) Construction,repair and/or removal permits 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 Permit Conditions 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 report are not completed by the date(s) indicated. <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cartse. <br /> PERMIT(s)Valid only for: QUIK STOP MARKETS INC <br /> $r THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: QUIK STOP MARKETS 1;°132* Facility ID FA0002232 <br /> AccountlD <br /> 3555 W HAMMER LN AR.0002245 <br /> STOCK-TON, CA 95209 Issued 2110/2005 <br /> Billing Address: <br /> QUIK STOP MARKETS #132* <br /> 1 4567 ENTERPRISE ST <br /> FREMONT, CA 94538-7605 - <br />