' SAN JOAQUI, . OUNTY ENVIRONMENTAL HEA LTPi!EPARTMENT :. :.
<br /> N1
<br /> 600
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<br /> i x 600 E. Main St. • Stockton, CA 95202-3029 Phone(209)468-3420
<br /> ` r `�° '� �� ; � Donna Heran,R.E.H.S.,Director
<br /> t ENVIRONMENTAL HEALTH
<br /> 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 /> PRO521815 PT0014743 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2010 To 12/31/2010
<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 /> r PR0231995 2300=UNDERGROUND STORAGE TANK FACILITY 1/1/2010 To 12/31/2010
<br /> Underground Storage Tank Proaram:
<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 8 390002319950199508 PT0005172 10,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial-Monitoring'
<br /> nterstitial Mondonng
<br /> 2360 9 390002319950199509 PT0005173 10,000 DIESEL Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 10 390002319950199510 PT0005510 10,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 11 390002319950199511 PT0005511 2,500 USED OIL Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> $Q F
<br /> ge 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.
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<br /> 2) In order to maintain the operating permit,the owner and operator shalt 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 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 Pennittee 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 equipment annually,or more frequently if specified by the equipment manufacturer,and
<br /> - provide documentation of such servicing to this office.
<br /> a 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.
<br /> ' 10 Upon an chane in equipment,desi oro ration of the UST system(including change in tank contents or usage),the Permit to Operate will be subject to review,modification or
<br /> ) P Y g � Pe Y ( g gPe J
<br /> revocation.
<br /> r 11) Construction,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 issuance 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 /> r 14) A"Conditional"Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated, -
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<br /> PERMITS TO OPERATE are NOT TRANSFERABLE
<br /> �� ,r� •.,Y` i 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 K176#2705446* ±- <; i � r r r* Facility ID FA0006438
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<br /> 1403 W COUNTRY CLUB BLVD 1 d�;; _ . ''Account ID AR0008425
<br /> r EN"� STOCKTON CA 95204 Issued 2/10/2010
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<br /> Billing Address: ATTN CONVENIENCE RETAILERS
<br /> i
<br /> n. CIRCLE K/76 #2705446*a{ �s �,„
<br /> t t LICENSES & PERMITS PO BOX 3290
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<br /> z SAN RAMON CA 94583
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