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SAN JOA IN COUNTY PUBLIC HEALTH S�ICES <br /> 304 E.WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 • PHONE(209) 468-3420 <br /> KAREN FURST,M.D., M.P.H., HEALTH OFFICER <br /> DONNA HERAN, R.E.H.S.,DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> ernut <br /> rogram ermit Program Code and Description Valid <br /> Record ID Number g p <br /> PR023193 2300-UNDERGROUND STORAGE TANK FACILITY 111100 To 12/31/00 <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 /> _ __ _____ _ _ _ - ------------- -- ---- - - - - - -- <br /> -- - ------ - <br /> an an ecor Fermi[ a aci on en ermi Status <br /> 000448 1 <br /> on i lona <br /> 2360 2 390002319390193902 PT0004482 10,000 UNLEADED Conditional <br /> 2360 1 390002319390193901 PT0004481 10,000 UNLEADED Conditional <br /> I 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 <br /> these Permit Conditions. <br /> 2) In order to maintain the operatingpermit,the permit holder shall comply with the H&S Code,Div.20,Chap.6.7 and 6.75;and CCR,Title 23,Chap. 16 and <br /> 18,as well as any conditions established by San Joaquin County. <br /> 3) Ifthe Tank Operator(s)is different from the Tank Owner,or if the Perm <br /> to Operate is issued to a person other than the owner or operator ofthe tank,the <br /> Permittee shall ensure that both 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 Division(PHS/EHD)and are considererd <br /> UST Permit Conditions. Copies ofthe Procedures and Emergency Response Plan must be attached to this permit or be available for review and/or inspection <br /> at eh UST site. <br /> 5) I lie�'emuttee shall comply with the monitoring procedures referrenced in this permit. <br /> 6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently ifspecified by the <br /> equipment manufacturer,and provide documentation ofsuch 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 <br /> 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 <br /> from the date the monitoring was performed. <br /> 9) The PHS/EHD shall be notified of any change in ownership or operation ofthe UST system within 30 days of such change. <br /> 10) Upon any change in equipment,design or operation ofthe UST system(including change in tank contents or usage),the Permit to Operate will be subject to <br /> review,modification or revocation. <br /> 11) Construction,repair and/or removal permits are required from the PHS/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 ofthe anniversary date ofthe issuance <br /> of this permit. <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. <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: QUIK STOP MARKETS INC <br /> DBA: QUIK STOP <br /> Tank Owner: QUIK STOP MARKETS <br /> THIS I I MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> 0002570 <br /> Regulated Facility: QUIK STOP MARKETS INC#144 Account ID Facility ID FAA 000 570 <br /> 654 <br /> 7272 WEST LN Issued 9/2812000 <br /> STOCKTON, CA 95209 <br /> Billing Address: ATTN : QUIK STOP MARKETS INC <br /> QUIK STOP MARKETS INC#144 <br /> 4567 ENTERPRISE ST <br /> FREMONT, 94538 <br /> 7023.rp t 4P 0 <br />