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SAN JOAQUT COUNTY ENVIRONMENTAL HEAL 7t DEPARTMENT ,
<br /> 600 E. Main St. • Stockton,CA 95202-3029 • Phone(209)468-3420
<br /> Donna Heran R.E.H.S Director °4 ti=* 't
<br /> ENVIRONMENTAL HEALTH ,.
<br /> _ $ � .t ;SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit Permit
<br /> Record ID Number Program Code and Description 't
<br /> 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 /> v Sec_25100 et seq,and Title 22,California Code of Regulations,Chap.20.
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<br /> PR0231126 2300-UNDERGROUND STORAGE TANK FACILITYyy �z � r ,- 1/1/2012 To 12/31/2012
<br /> Underground Storage Tank Program: f `
<br /> California Health and Safety Code,Div.20,Chap.6.7 and Title 23,California Code of Regulations Chap 16 �
<br /> - -- ------- ---- ----- ----------- ---------- - -------- ----------
<br /> . P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2362 5 390002311260507777 PT0009291 12,000 REGULAR UNLEADEDActive,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 6 390002311260507778 PT0009292 10,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> r,.
<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 /> ry ) The Permit to Operate will become void if Annual Pennit 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 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 Pennittee shall ensure that both
<br /> 4` the Tank Owner and tank Operator receive a copy of the permit.
<br /> x 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 /> The Pennittee shall comply with the monitoring procedures referenced in this permit � �r +• -,
<br /> 6) The Permittee shall Perform testing and preventive maintenance on all leak detection monitoring equipment annual)Y>or more frequently ifs eVcifed by the equipment manufacturer,and
<br /> i
<br /> 1 provide documentation of such servicing to this office.
<br /> x ,-a) 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 /> s;8) Written records of all monitoring performed shall be maintained on-site by the operator and be available for inspection fora 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.,R
<br /> r
<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. t�� 9: ` : ,mat
<br /> V, 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 /> Yy 13) 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.
<br /> PERMIT(s)Valid only for: CONVENIENCE RETAILERS LLC 7
<br /> .., .
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> ;a'r CIRCLE K/76#2705447 Facility ID FA0001570
<br /> Regulated Facility: "�;, „ at >r <
<br /> 1 1469 E HAMMER LN ' ' �`
<br /> a .... .n �
<br /> 1 n rt r ount ID AR0003507
<br /> Niv, STOCKTON CA 95210 ;} x �Acc Issued
<br /> { s t +, r t 2/10/2012
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<br /> Billing Address: ATTN LICENSES & PEMITS, / K SPRA IiFgpwfi a
<br /> CIRCLE K/76 #2705447
<br /> 7180 KOLL CENTER PKWY ST);
<br /> PLEASANTON CA 94566-3184 I rT r ra r' n 'i "
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