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<br /> SAN OAQUIN COUNTY ENVIRONMENTAL HEALTH IrEPA:i`I TENT
<br /> °`600 E. Main St. r Stockton, CA 95202-3029 Phone(209)468-342( "
<br /> Donna Heran,R.E.H.S., Director
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit
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<br /> Permit
<br /> Program Code and DescriptionRecord ID Number ,
<br /> Valid
<br /> PRO521815 PT0014743 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2011 To 12/31/2011 ¢„
<br /> Hazardous Waste Generator Program: R
<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, x �"
<br /> Sec.25100 et seq_and Title 22,California Code of Regulations,Chap.20_
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<br /> Pf20231995 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2011 To 12/31/2011" '
<br /> nderground Storage Tank Program: '^
<br /> California Health and Safety Code, Div.20,Chap._6.7 and Title 23,California Code of Regulations,Cha 16
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<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 /> 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
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<br /> Underground Storage Tank Permit Conditions
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<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 ;',?k
<br /> 2) In order to maintain the operating pennit,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
<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 sr j r
<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 Permittee shall comply with the monitoring procedures referenced in this permit. rr "
<br /> 6) The Permittee shalt perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently ifspeeified by the equipment manufacturer,and n .
<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 $s
<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
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<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 m equipment,design or operation of the UST system(including change in tank contents or usage),the Permit to Operate will be subject to review,modification or
<br /> revocation. t1
<br /> 11) Construction,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment. y t
<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.
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<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
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<br /> PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause. x'
<br /> PERMIT(s)Valid only for: CONVENIENCE RETAILERS LLC
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> CIRCLE K/76#2705446* `= fl y FA0006438
<br /> Regulated Facility:
<br /> 1403 W COUNTRY CLUB BLVD Account ID AR0008425
<br /> STOCKTON CA 95204 ; 'L t Issued'2/4/2011
<br /> BiHin�Atidress: ATTN CONVENIENCE RETAILERS LLC "' s
<br /> CIRCLE K/7.6 #2705446*
<br /> LICENSES & PERMITS PO BOX 3290 Z '
<br /> SAN RAMON CA 94,583
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