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<br /> SA \ JOAQUIIvTOUNTY ENVIRONMENTAL HEALTH DEPARTMENT
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<br /> 3 600E Main St. • Stockton, CA 95202-3029 •Phone(209)468-3420
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<br /> Donna Heran,R.E.H.S.,Director
<br /> ENVIRONMENTAL HEALTH
<br /> f SAN'JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit Permit
<br /> Record ID Number Program Code and Description
<br /> Valid
<br /> Pk0518336 PT0011970 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2012,To 12/31/2012
<br /> Hazardous Waste Generator Program: ,
<br /> In order to maintain the permit to operate, Hazardous Waste Generators shail'complywith 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 /> PR0231442 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2012 To 12/31/2012
<br /> Underground
<br /> -Storage Tan Program:
<br /> California Health and Safety Code,Div.20,Chap.6.7 and Title 23,California Code of Regulations,Chap. 16_
<br /> ------- --- ------ - -------- -------- -- ----- - -- --- -- ------ -------- - - -- ,----
<br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2362 1 390002314420144201 PT0004477 10,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 2 390002314420144202 PT0004478 10,000 MIDGRADE UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 3 390002314420144203 PT0004479 8,000 PREMIUM.UNLEAPED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
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<br /> Underground Storage Tank Permit Conditions
<br /> I) 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 withrythese Permit Conditions. t
<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 w"
<br /> established by San Joaquin County.
<br /> 3) -:If theTank 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�4,e
<br /> rhe Tank Owner and tank Operator receive a copy of the permits •'
<br /> ,,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 perngt ,• t
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<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 k i ' w
<br /> 10) Upon any change in equipment,design or operation of the UST system(including change in tank contents or usage),the Permit t6Operate will be subject to review,modification17
<br /> of �
<br /> revocation.
<br /> 11) Construction,repair and/or removal pennits are required from the EHD prior to any change,repair or removal of UST system equipment.
<br /> 12) This Permit to Operate shall not be considered permission to violate any laws,ordinances or statutes of any other Federal,State or local agency.
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<br /> 13) A Conditional'Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated l}���� $+ `..� .
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<br /> PERMITS TO OPERATE may be 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 /> Regulated Facility: QUIK STOP MARKET#5124* Facility ID FA0006441t} �
<br /> t 505 N MAIN ST r est s %accountlD AR0008428
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<br /> MANTECA CA 95336
<br /> r Issued zI > > r ssue2/10/2012 a
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<br /> f r 41 t LY�r1�Y li y :.� rtd' $eq'f
<br /> Billing Address: i r
<br /> QUIK STOP MARKET #5124* ' 3 i�43Ps
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<br /> 4 4567 ENTERPRISE ST K = ? �t + r � y:�,� 5
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<br /> FREMONT CA 94538-7605
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