SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
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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 a`
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<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM A,GF�JCX
<br /> PERMIT TO OPERATE w1 '
<br /> Program Permit Permit
<br /> Record ID Number Program Code and Description
<br /> Valid
<br /> PR0521815 PT0014743 2220 SMALL QUANTITY HAZARDOUS WASTE GENT=RATOR FACILITY ,'',411/2009 To 12/31/2009
<br /> Hazardous Waste Generator Program t , r ''.
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<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 sen, d Title 22,,California Code of Regulations,Chap.20_
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<br /> PR0231995 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2009 To 12/31/2009
<br /> Underground StoragelTank Program:
<br /> California Health and,-Safety Code, Div.20,Chap.- and Title 23,California Code of Regulations,Chap 16
<br /> 1 _ _ _____ _______ ______ ____
<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 1'
<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 /> 11 390002319950199511 PT0005511 2,500 OTHER Active,billable ,,-'DOUBLE WALLED Continuous Interstitial Monitoring
<br /> ,.Underground Storage Tank Permit Conditions t ��'•'
<br /> 1 j °,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 com�b}t> wlthWese Permit Conditions r
<br /> Z; 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 2 ;'Lp 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,*q! tittee shall ensure that both , 4
<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 Departtpei(I �ana ar6.99na1llererd U$T t Conditions. The approved
<br /> monitoring,response,and plot plans shall be maintained onsite with the permit. t
<br /> 5) The Permittee shall comply with the monitoring procedures referenced in this permit.
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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 zr ,
<br /> provide documentation of such servicing to this office. r,
<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 y from the date the monitoring was r ;}
<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,any change in equipment,design or operation of the UST system(including change in tank contents or usagC),the hermit to Operatetlllae subject to review,modification
<br /> revocation. ;, a
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<br /> Construction,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment.
<br /> !?,} The Pemrittee 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 /> c i23)-• 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 maybe SUSPENDED or REVOKED for cause.-,
<br /> fir...:
<br /> PERMIT(s)Valid only for: CONVENIENCE RETAILERS LLC
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
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<br /> Regulated Facility: CIRCLE K176#2705446* Facility ID FA0006438 #'
<br /> 1403 W COUNTRY CLUB BLVD Account ID AR0008425
<br /> STOCKTON CA 95204. « Issued : ,�
<br /> 2/4/2009
<br /> Billing Address: ATTN CONVENIENCE RETAILERS LLC si ,A ' `;;
<br /> CIRCLE K/7'6 #2705446*
<br /> 600 N DAIRY ASHFORD TA-1136B"` k
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<br /> HOUSTON TX 77019
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