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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 600 E. Main St. • Stockton, CA 95202-3029 • Phone(209)468-3420 qty '
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<br /> Donna Heran,R.E.H.S., Director � .
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<br />` ENVIRONMENTAL HEALTH
<br /> ` SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY i', , K` �'t
<br /> PERMIT TO OPERATE �� .
<br /> Program Permit Permit
<br /> Record ID Number Program Code and Description *DUPLICATE* Valid
<br /> PRO518611 PT0012136 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2012 To 12/31/2012
<br /> Hazardous Waste Generator Program:
<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 seq,and Title 22,California Code of Regulations,Chap.20.
<br /> Sec.--25-1-
<br /> 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2012 To 12/31/2012
<br /> Underground Storaoe Tank Program:
<br /> California Health and Safety Code, Div.20,Chap.6.7 and Title 23,California Code of Regulations,Chap. 16.
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<br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2362 5 390002311260507777 PT0009291 12,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 6 390002311260507778 PT0009292 10,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 7 390002311260507779 PT0009293 10,000 MIDGRADE UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 8 390002311260507780 PT0009294 10,000 DIESEL Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<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 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 approved
<br /> monitoring,response,and plot plans shall be maintained onsite with the pennit.
<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
<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 die 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.
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<br /> PERMITS TO OPERATE maybe SUSPENDED or REVOKED for cause.
<br /> PERMIT(s)Valid only for: CONVENIENCE RETAILERS LLC
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES am
<br /> CIRCLE K/76#2705447 Facility ID FA0001570
<br /> Regulated Facility: / `t Account ID AR0003507
<br /> 1469 E HAMMER LN *I,rr
<br /> Issued 4
<br /> STOCKTON CA 95210r { _ /2012
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<br /> Billing Address: ATTN LICENSES & PERMITS / K SPRAGUE ,-
<br /> CIRCLE K/76 #2705447 p
<br /> 7180 KOLL CENTER PKWY STE 100 : '_ =
<br /> PLEASANTON CA 94566-3184 rx
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<br /> 7023 rpt ,
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