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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTM ENT
<br /> 1868 E.Hazelton Aver a Stockton,CA 95205-6232"•Phone(20)9)468-3420
<br /> 4 Donna Heran,R.E.H.S,,Director
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CER'T'IFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit Permit
<br /> Record ID Number Program Code and Description Valid
<br /> •n 4411 111E _ATn10 NMNAR Tw �9rx�tsl►'I�
<br /> Hazardous Waste Uener5for FrogLamt
<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.2,43,
<br /> Sec.25100 et eq and Title 2 `forma Gode of Regulations Chap 20_
<br /> ----- ------ ....... --------------------------------------------------------------- .......
<br /> PR0231995 2300 UNDERGROUND STORAGE TANK FACILITY 1M/2013 To 12131/211 3
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<br /> Underground Storage Tan Pro ra
<br /> California Health and Safa d Div 20 Chap 6 7 and Trtke 23 California Code of Regulations,_Chap_16.
<br /> P Tan-k7— Tank Record ID Permit# Capacity Contents Permit Status System Type Le tt otttut.
<br /> 2362 8 390002319950199508 PT0005172 10,000 PREMIUM UNLEADED Active,billable DOUBLE-WALL Continuous Intersti tfA4wo
<br /> 2360 9 390002319950199509 PT0005173 10,000 DIESEL Active,billable DOUBLE-WALL Continuous Interstitial
<br /> 2360 10 390002319950199510 PT0005510 10,000 REGULAR UNLEADED Active,billable DOUBLE-WALL ContinuousinterstitiatMontttirit)g
<br /> 2360 11 390002319950199511 PT0005511 2,500 USED OIL Active,billable DOUBLE-WALL Continuous Interstitial Mohitprf ip;
<br /> 3t `IC# .4�1040f 40
<br /> w t;°
<br /> Underground Storage Tank Permit Conditions
<br /> I) 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.
<br /> 2) 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 23,Chap.16 and 18,as well as any conditions
<br /> established by San Joaquin County.
<br /> 3) If the Tank Operators)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 A
<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,
<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 'a
<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. -
<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 any change in 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.
<br /> 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) 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 /> 13) A"Conditional Permit maybe revoked if corrections specified on the inspection report are not completed by the date(s)indicated.
<br /> y
<br /> PERMITS TO OPERATE 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 /> CIRCLE K/76#2705446* Facility ID FA0006438
<br /> Regulated Facility: 1403 W'COUNTRY CLUB BLVDAccountlD AR0008425
<br /> STOCKTON CA 95204 Issued 2/19/2013
<br /> Y
<br /> Billing Address: LICENSES & PERMITS
<br /> CIRCLE K/76 #2705446*
<br /> 7180 KOLL CENTER PKWY STE 100
<br /> PLEASANTON CA 94566-3184
<br /> 7023.rpt
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