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SAN JOAN UIN COUNTY PUBLIC HEALTH VICES <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 /> Program Permit <br /> Program Code and Description Valid <br /> Record ID Number <br /> PR0231111 2300-UNDERGROUND STORAGE TANK FACILITY 111/01 To 12/31/01 <br /> Underground Storage Tank Program: <br /> California Health and Safety Code Div_20 ,Chap_6.7 and Title-2-3-California Code of Regulations Chap._16--------------------------------- <br /> P/E Tank-# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection <br /> 2360 4 390002311110508148 PT0009649 12,000 PREMIUM UNLEADED Active DOUBLE WALLED AUTOMATIC TANK GUAGE <br /> 2362 3 390002311110508147 PT0009557 12,000 REGULAR UNLEADED Active DOUBLE WALLED AUTOMATIC TANK GUAGE <br /> Underground Storage 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 <br /> Conditions. <br /> 2) In order to maintain the operating permit,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 18,as well as <br /> any conditions established by San Joaquin County. <br /> he Permit to Operate is issued to a person other than the owner or operator of the tank,the Permittee shall <br /> 3) If the Tank Operator(s)is different from the Tank Owner,or if t <br /> 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 UST Permit <br /> Conditions. Copies of the Procedures and Emergency Response Plan must be attached to this permit or be available for review and/or inspection at the UST site. <br /> 5) The Permittee 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 equipment <br /> manu facturer,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 approved Emergency <br /> Response Plan. <br /> 8) Written records of all monitoring performed shall be maintain ed on-site by the operator and be available for inspection for a period of at least three years from the date the <br /> 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 subject to review, <br /> 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 U ST Permit Conditions within 30 days of the anniversary date of the issuance ofthis 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: QUIK STOP MARKETS INC <br /> DBA: QUIK STOP <br /> Tank Owner: QUIK STOP MARKETS <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: QUIK STOP MARKETS#39 Facility ID FA0001659 <br /> 2285 E FREMONT ST Account ID AR0001658 <br /> STOCKTON. CA 95205 Issued 3/29/2001 <br /> Billing Address: ATTN : QUIK STOP MARKETS INC <br /> QUIK STOP MARKETS INC <br /> 4567 ENTERPRISE ST <br /> FREMONT, CA 94538 <br /> 7023.rpt 0 0 <br />