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` SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> ��� � � ^ <br /> 600E Main St. • Stockton,CA 95202-3029 • Phone(209)468-3420 t Y x a <br /> 4, ' <br /> N Donna Heron,R.E.H.S.,Director t ` ¢ <br /> ENVIRONMENTAL HEALTH <br /> r <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE r Permit' ? <br /> Program Permit 7 77 <br /> �. < , l <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. <br /> ----- - - ---- ------ -- ---- ------- - --- <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 <br /> - ------------ <br /> ------------------ <br /> s<a--------------------- <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 <br /> s J <br /> 1JQ#.%1_Ami� 4 ^ <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. <br /> x. <br /> 5) The Permittee sbalfor}iply with the monitoring procedures referenced in this pennit; <br /> a <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. <br /> P P 9 P yP Y <br /> x <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. <br /> t r r l <br /> r � <br /> ?t <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> r. <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 <br /> a J <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 <br />