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SAN JOAQUIOUNTY PUBLIC HEALTH SERV*S <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 /> Permit <br /> rogram Permit Valid <br /> Record ID Number Program Code and Description <br /> PR023199 2300-UNDERGROUND STORAGE TANK FACILITY 1/1100 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 Cha 16. _------ - - ---- <br /> ---- -- - - -- - - - ---------- <br /> 9 P <br /> ME <br /> ------------- -- - <br /> an an ecor ermr apace y Contents runint Status <br /> '2360 11 3900023 50199511 PTODD5511 2,500 WASTE OIL Active <br /> 2360 10 390002319950199510 PT0005510 10,000 UNLEADED Active <br /> 2360 9 390002319950199509 PT0005173 10,000 UNLEADED Active <br /> 2360 8 390002319950199508 PT0005172 10,000 UNLEADED Active <br /> BOE ED# 44-�J241I58 <br /> Underground Storage Tank Permit Conditions 1. <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 Opemtor(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 <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 of the Procedures and Emergency Response Plan must be attached to this permit or be available for review and/or inspection <br /> 5) itth UST site. <br /> herPermittee 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 if specified by the <br /> equipment manufacturer,and 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 <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 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 subjectto <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 of the anniversary date of the 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: TOSCO NORTHWEST CO <br /> DBA: CIRCLE K STORES <br /> Tank Owner: CIRCLE K STORES INC <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: CIRCLE K STORES INC#5446" Facility ID FA0006438 <br /> 1403 W COUNTRY CLUB BLVD Account ID AR0008425 <br /> STOCKTON, CA 95204 Issued 9/29/2000 <br /> Billing Address: ATTN : LICENSING DEPT DC36 <br /> TOSCO NORTHWEST CO <br /> PO BOX 52085 <br /> PHOENIX, AZ 85072-2085 <br /> 7023.rpt <br />