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<br /> t"'0AQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> - 600 E. Main St. • Stockton,CA 95202-3029 • Phone(209)468-3420 1-
<br /> „i
<br /> < Donna Heran,R.E.H.S.,Dlretto
<br /> {
<br /> ENVIRONMENTAL HEA T,
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM1�TCY" .,
<br /> PERMIT TO OPERATE
<br /> Program Permit Permit
<br /> Record ID Number Program Code and Description
<br /> Valid
<br /> PRO518611 PT0012136 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2009 To 12/31/2009 .k
<br /> Hazardous Waste Generator Program:
<br /> In order to maintain the permit to operate, Hazardous Waste Generators shall comply with California Health and-safety C�Q�ler.Div.20,Chap.6.5,Art.2-13,
<br /> Sec.25100 et seq,and Title 22,-California Code of Regulations,Chap_20: ------------------------------------------------
<br /> 430- ------- ------------------------------ ----- ----- -
<br /> PR0231126 23Q0-UNDERGROUND STORAGE TANK FACILITY 1/1/2Q09 To 12/31/2009
<br /> %lnderground Steraae�fik'}�rogram:
<br /> 'California Health and Safety Code,Div.20,Chap.6.7 and Title 23,California Code of Regulations,Chap. 16
<br /> -------------------------------- -- ------------ -------- - -----°= - ----------------------------
<br /> I P/E
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<br /> P/E Tank#,. Tank Record ID Permit# Capacity Contents Permit Status System:Type " Leak Detection r
<br /> 2362 X90002311260507777 PT000929112,000 REGULAR UNLEADED Active,billable DOUBLE WALLED,' ",Continuous Interstitial Monitoring
<br /> 2360 S 390002311260507778 PT0009292 10,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED '" Continuous Interstitial Monitoring
<br /> 2360 >`7 X90002311260507779 PT0009293 10,000 MIDGRADE UNLEADED Active,billable DOUBLE WALLED' Continuous Interstitial Monitoring
<br /> TM; `3;1260507780 PT0009294 10,000 DIESEL tt,:Active,billable DA41@I @'yif¢tED Continuous Interstitial Monitoring
<br /> -Qiidiground 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 io,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.I0tnd 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 thW�Winer or operator pf1be tank the Permittee shall ensure that both
<br /> the Tank Owner and tank Operator receive a copy of the permit. f
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<br /> 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Department($oj and are eonsidererd 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. `
<br /> 6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequnntlXf specified by the equipment manufacturer,and,
<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. z
<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 c.4-to review,modification of
<br /> revocation. a
<br /> ]:i) Construction,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment:
<br /> 42j-`The Permittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the date of the issuance oltedsft.'.
<br /> 13) This Permit to Operate shall not be considered permission to violate any laws,ordinances or statutes of any other Federal,State or Locat ag"O.
<br /> 14) A"Conditional"Permit maybe 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 /> 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 K/76#2705447 Facility ID FA0001570,
<br /> 1469 E HAMMER LN Account ID AR0003507 x t
<br /> STOCKTON CA 95210 . Issued 2/4/2009
<br /> Billing Address: ATTN CONVENIENCE RETAILERS LLC
<br /> CIRCLE K/76 #2705447
<br /> '`' s r ,
<br /> 600 N DAIRY ASHFORD TA-11365i t z
<br /> � -EOU'STON TX 77079"
<br /> 1Q23-rpt r
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