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r SAN JOA UOUNTY ENVIRONMENTAL HEAL&EPARTMENT mow,
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<br /> 600 E. Main St. • Stockton,CA 95202-3029 • Phone(209)468-3420
<br /> Donna Heran,R.E.H.S.,Director `,r
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCYy
<br /> PERMIT TO OPERATE
<br /> Program Permit
<br /> Permit
<br /> Record 1D Number Program Code and Description Valid °y7
<br /> PR0518336, PT0011970 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2008 To 12131/2008
<br /> HazardousAaste 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,Art2-13, f` $
<br /> Seo 25100 et'se rld Title 22_-Ca' ria Code of Regulations,Chap.20. `>
<br /> PRO2 DERG*00,D STORAGE TANK FACILITY 1/1/2008 To 12/31/2008
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<br /> California Health and Safety Code_Div.20,Chap._6.7 and Title 23,California Code of Regulations Chap_t6
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<br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status Systerh Tjape Leak Detection
<br /> 2362 1 390002314420144201 PT0004477 10,000 REGULAR UNLEADED Active,billable DOUBLE WA;'ED Continuous Interstitial Monitoring
<br /> 2360 2 390002314420144202 PT0004478 10,000 MIDGRADE UNLEADED -Active,billable `DOUBLE WQ6l D Continuous Interstitial Monitoring
<br /> 2360 3 390002314420144203 PT0004479 8,000 PREMIUM UNLEADED Active,billable DOUBLE N1AhLE0 . Continuous Interstitial Monitoring ?g,
<br /> POE ID#: 44-018763
<br /> Underground Storage Tank Permit Conditions
<br /> 1) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid and/or the UST system(s)fails to remain in compliance with these Permit Conditions > xjt,I
<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 to4 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 Enviromnental Health Department(EHD)and areo�rd UST Permit Conditions. The approved
<br /> monitoring,response,and plot plans shall be maintained onsite with the permit.
<br /> 5) The'P,crniittee 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 equipmenhagtt}y,or more frequently if specified by Cquipment manufacturer,and t x
<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.alaproved Emergency Response Platt _, c<'
<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 year$from the date the monitoring
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<br /> 9) The ISA shall be gotified of any change in ownership or operation of the UST system within 30 days of such change.
<br /> 10) Upon any change in equipment,design or operation of the UST system(including change in tank contents or usage) the.$enrlrtto pperate will be subject to review,modification or
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<br /> revocation. =
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<br /> 11) Constntat,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 date of the issuatm o(tt4 psnmt a
<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. 5
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<br /> `PERMITS TO OPERATE are NOT TRANSFERABLE
<br /> and maybe SUSPENDED or REVOKED for cause.
<br /> PERMIT(s)Valid only for: QUIK STOP MARKETS INC
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Repulet®dacility; QUIK STOP#124* Facility ID FA0006441
<br /> 505 N MAIN ST Account ID AR0008428:
<br /> MANTECA CA 95336
<br /> Issued
<br /> 2/8/20081)"
<br /> Billing:Ac YOSs:A
<br /> QUIK STOP+ 124*
<br /> 4567 F�N11'ERPRISE ST
<br /> FREMONT: CA94538-7605
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