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<br /> SAN JOAQUEWUNTY ENVIRONMENTAL HEALT .DEPARTMENT
<br /> :,.. s z
<br /> 600 E. Main St. 9 Stockton, CA 95202-3029 • Phone(209)468-3420
<br /> Donna Heran,R.E.H.S.,Director
<br /> ENVIRONMENTAL HEALTH "
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit Permit
<br /> Record ID Number Program Code and Description
<br /> Valid
<br /> PR0526835 PT0018780 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2010 To 12/31/2010
<br /> Hazardous Waste Generator Program:
<br /> 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.2-13,
<br /> Sec.25100 et seq,and_Title 22,California Code of Regulations,Chap.20_
<br /> --------- -------------
<br /> PR0231130 2300-UN13ERGROUND STORAGE TANK FACILITY 1/1/2010 To 12/31/2010
<br /> Underground Storage Tank-Program: x .
<br /> California Health and Safety Code,Div.20,Cha---------------------------------------------------.67 and Title 23,California Code of Regulations,Chap 16.
<br /> -- -- --- - - ---- ----- --- - ----- - -- - ------- --------- --------- ----------------- - --------
<br /> P/E Tank# Tank Record ID 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 /> n.kr
<br /> 1) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid and/or the UST systeni(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 4) Written 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 Pennittee 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 /> 8) 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 /> 10) Upon any change in equipment,design or operation of the UST system(including change in tank contents or usage),the Permit to Operate',Mll be subject to review,modification or
<br /> revocation.
<br /> 1 I) 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 compliagavv4di the UST Permit Conditions within 30 days of the date of the issuance of this permit. '
<br /> 13) 1b1&.PCtmtVlo*Operate shall not be Considered permission to vig4teany laws,ordinances or statutes of any othWF'ederal,State or Local agency.
<br /> 14) A','k ptic)tki 1"Permit may be,reYnkedif corrections specifiedAtn the inspectiDh"a are not completed,by the date(s) indicated.
<br /> RkIITS TO OPERATE are NOT TRANSFERABLE;
<br /> end may be SUSPENDED or REVOKED.
<br /> fq;cause.
<br /> PERMIT(s)Valid only for: QUIK STOP MARKETS INC
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility: QUIK STOP MARKETS#132* Facility ID FA0002232
<br /> 3555 W HAMMER LN Account ID AR0002245
<br /> STOCKTON CA 95209 Issued 2110/2010
<br /> Billing Address:
<br /> QUIK STOP MARKETS #132*
<br /> 4567 ENTERPRISE ST
<br /> t FREMONT CA 94538-7 60 r a
<br /> ,
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<br /> 7023 fpt
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