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<br /> SAN JOAQLIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT:
<br /> . 600 E. Main St. • Stockton, CA 95202-3029 • Phone(209)*6$342Q,.
<br /> :Donna Heran, R.E.H.S., Director
<br /> ENVIRONMENTAL HEALTH _ F�4>a { f
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit Permit
<br /> Record ID Number Program Code and Description Valid
<br /> PRO518611 PT0012136 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2011 To 12/31/2011
<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,Diva 20 Chap 6 5,Art2-13
<br /> Sec_25100 et seq,and Title 22, California Code of
<br /> _ Regulations,Chap.20
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<br /> PR0231126 a
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<br /> 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2011 To 12/31/2011
<br /> r Underground Storage Tank Program: wrF y t
<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 u
<br /> 2360 8 390002311260507780 PT0009294 10,000 DIESEL =,
<br /> Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> Underground Storage Tank Permit Conditions fi
<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 s g ptr
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<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 /> 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 /> 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 Pemtit Conditions. The approved ar
<br /> monitoring,response,and plot plans shall be maintained onsite with due pennit.
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<br /> 5) The Permittee shall comply with the monitoring procedures referenced in this permit. i
<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; tc'
<br /> ;provide documentation of such servicing k,this office. 'may
<br /> ' 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 /> 4r'St..'�
<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 x n
<br /> revocation.
<br /> 1 1) Construction,repair and/or removal perntits are required from the EHD prior to any change,repair or removal of UST system equipment. b r; t t tr r1 r r
<br /> 12) The Pennittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the date of the issuance d its paint
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<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: t }
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<br /> PERMITS TO OPERATE may be SUSPENDED or REVOKED for:caulse.:-
<br /> r ` PERMIT(s)Valid only for: CONVENIENCE RETAILERS LLC 'k
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> CIRCLE K/76#2705447 w` Facility ID FA0001570
<br /> Regulated Facility: >
<br /> 1469 E HAMMER LN r ,r Account iD AR0003507 '.
<br /> STOCKTON CA 95210. Issued
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<br /> �� 2/4/2011
<br /> Billing Address: ATTN CONVENIENCE RETAILERS LLG .€
<br /> CIRCLE K/76 #2705447
<br /> LICENSES & PERMITS PO BOX 3290
<br /> SAN RAMON CA 94583
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