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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,R-E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Permit <br /> Program Permit Valid <br /> Record ID Number Program Code and Description <br /> PRO518105 PT0011849 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 111/2003 To 12/31/2003 <br /> Hazardous Waste Generator Program: 20. <br /> California Health and Safety Code,Div.20,Chap.6.5,Art.2-13,Sec.25100 et seg,and Title 22,California Code of Regulations,Chap. <br /> ------------- <br /> PR0231129 <br /> 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2003 To 12/31/2003 <br /> Underground Storage Tank Program: <br /> California Health and_------ Code,Div_2Q Chao. and Title 23,California Code of Regulations,Chap_16________________________________________________------------------ <br /> PiE Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection <br /> DOUBLE WALLED Continuous Interstitial Monitoring <br /> 2360 7 390002311290508185 PT0009581 10,000 MIDGRADE UNLEADED Active,billable <br /> REGULAR UNLEADED Active,billable DOUBLE WALLED Cen[!nuous Interstitial Monitoring <br /> 2360 6 390002311290508184 PT0009580 10,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> 2362 5 390002311290508183 PT0009579 10,000 <br /> Underground Storage Tank PermitConditions <br /> aid and/or the UST system(s)fails to remain in compliance with these Permit Conditions. <br /> I) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not p <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) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Department(EHD)and are considererd UST Perri[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 /> 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 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 will be subject to review,modification or <br /> 11) M&q"n,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 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,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 cause. <br /> PERMIT(s)Valid only for: CIRCLE K STORES INC <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Facility ID FA0001817 <br /> Regulated Facility: CIRCLE K STORE#5448 Account ID AR0001821 <br /> 3202 W HAMMER LN Issued 5!112003 <br /> STOCKTON, CA 95209 <br /> Billing Address: ATTN : LICENSING DEPT DC 36 <br /> CIRCLE K STORE #5448 <br /> PO BOX 52085 <br /> PHOENIX, AZ 85072-2085 <br /> 7023.rpt <br />