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., SAN JOAQUL_ OUNTY ENVIRONMENTAL HEAL .,EPARTMENT
<br /> 600 E. Main St. • Stockton CA 95202-3029 • Phone(209)468-3420
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<br /> Donna Heran,R.E.H.S., Director
<br /> ' gV ENVIRONMENTAL HEALTH
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<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY � r
<br /> PERMIT TO OPERATE
<br /> Program Permit Permit
<br /> Record ID Number Program Code and Description Valid
<br /> PR0518105 PT0011849 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_
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<br /> PR0231129 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2010 To 12/31/2010
<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 /> ----Y YP ---- -- ------
<br /> P/E Tank# Tank Record ID Permit# CapacityContents Permit Status System Type Leak Detection
<br /> 2362 5 390002311290508183 PT0009579 10,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 6 390002311290508184 PT0009580 10,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 7 390002311290508185 PT0009581 10,000 DIESEL Active,billable DOUBLE WALLED Continuous Interstitial Monitorin
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<br /> nWRrouii3' Storage Tank Permit Conditions
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<br /> 1) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid and/or the UST
<br /> 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) 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 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 /> 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. e Y ty
<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 />} revocation.
<br /> 11) Construction,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment.
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<br /> c i 12) The Pennittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the date of the issuance of this permit.
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<br /> I 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 /> A 14) A"Conditional'Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated.
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<br /> PERMITS TO OPERATE are NOT TRANSFERABLE
<br />�a and may be SUSPENDED or REVOKED for cause. ?, �r
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<br /> PERMIT(s)Valid only for: CONVENIENCE RETAILERS LLC
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility: CIRCLE K/76#2705448 � Fft04 Facility ID FA0001817
<br /> + 3202 W HAMMER LN Yr
<br /> g AFS Account ID AR0001821
<br /> I s v STOCKTON CA95209
<br /> � Issued
<br /> 2/10/2010
<br /> Billing Address: ATTN CONVENIENCE
<br /> RETAILERS LLC: +� �+`
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<br /> CIRCLE K/76 #2705448
<br /> LICENSES & PERMITS PO BOX 3290
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<br /> "': aj SAN RAMON CA 94583
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