` SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
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<br /> 600E Main St. • Stockton,CA 95202-3029 • Phone(209)468-3420 t Y x a
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<br /> N Donna Heron,R.E.H.S.,Director t ` ¢
<br /> ENVIRONMENTAL HEALTH
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<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE r Permit' ?
<br /> Program Permit 7 77
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<br /> Record ID Number RrOm Code and Description ,- Valid
<br /> 43 PR0518105 PT0011849 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2009 To 12/$1/2909
<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 /> 0231129 2300 UNDERGROUND STORAGE TANK FACILITY-,"'<: 1/1/20" To 12/31/2009 t
<br /> bntlerground Storage Tank Program r
<br /> California Health and Safety Code, Div.20,Chap.6.7 and Title 23,California Code of Reulations,Chap_ 16
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<br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Leak Detection
<br /> 2362 5 390002311290508183 PT0009579 10,000 PREMIUM UNLEADED Active,billable DOUBLE WAL D 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,OOQ MIDGRAQE.UNLEADED Active,billable ','I OIJBI.E WALLED Continuous Interstitial Monitoring
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<br /> Underground Storage Tank Permit Conditions ,
<br /> 1) .The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paidand/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) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health 3?eatzarient(EHD)and are considererd UST Permit Conditions. The approved <
<br /> monitoring,response,and plot plans shall be maintained onsite with the permit.
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<br /> 5) The Permittee sbalfor}iply with the monitoring procedures referenced in this pennit;
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<br /> 6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment anrivaXly,`9Tipre 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. �t
<br /> $� 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 w4�C r
<br /> performed. ,
<br /> 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 a n+ y t
<br /> revocation.
<br /> 11 Construction,repair and/or removal permits are required from the EHD prior to an change,re air or removal of UST system equipment.
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<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 tills
<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 agent
<br /> 14) A Conditional"Permit may be revoked if corrections specified on the inspection report are not completed Oy the date(s) indicated.
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<br /> PERMITS TO OPERATE are NOT TRANSFERABLE
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<br /> and may be SUSPENDED or REVOKED for cause
<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 i ;,' Facility ID FA0001817
<br /> 3202 W HAMMER LN s: a "i 5u y ry Account ID 3'
<br /> � � � �� AR0001821
<br /> STOCKTON CA 95209 r ' e2/4/2009,!,1"
<br /> Issu d
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<br /> Billing Address: ATTN CONVENIENCE RETAILERS LLC;
<br /> a CIRCLE K/76 #2705448
<br /> 600 N DAIRY ASHFORD TA-1136B ,� �,
<br /> HOUSTON TX 77079 h 'r
<br /> 7013 tpt AM
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