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SAN JOAQUIN. OUNTY ENVIRONMENTAL HEALTH PARTM ENT <br /> 1868 E.Hazelton Ave. • Stockton,CA 95205-6232 • Phone(209)468-3420 <br /> Donna Heran,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <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 1/1/2014 To 12/31/2014 <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 /> ----------------------------------------------------------------------- <br /> Sec.25 seq and Tlt—ie 2Z,Cafifer Code of Regulations,Chap:20. <br /> ec. ----------- -------------- <br /> 231126 2300 UNDERG UND STORAGE TANK FACILITY 1/1/2014 To 12/31/2014 <br /> Underargunj Storage TaankProgr <br /> C _ ode,Div. C_ hap.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 UNLEADED ACTIVE,BILLABLE DOUBLE-WALL Continuous Monitoring <br /> 2360 6 390002311260507778 PT0009292 10,000 MIDGRADE UNLEADED ACTIVE,BILLABLE DOUBLE-WALL Continuous Monitoring <br /> 2360 7 390002311260507779 PT0009293 10,000 PREMIUM UNLEADED ACTIVE,BILLABLE DOUBLE-WALL Continuous Monitoring <br /> 2360 8 390002311260507780 PT0009294 10,000 DIESEL ACTIVE,BILLABLE DOUBLE-WALL Continuous 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 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 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 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 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 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 <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 may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated <br /> PERMITS TO OPERATE 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 /> CRLLC#5447 FacilityID FA0001570 <br /> Regulated Facility: 1469 E HAMMER LN Account 1D AR0003507 <br /> STOCKTON CA 95210 Issued 3/14/2014 <br /> Billing Address: AT TN CONVENIENCE RETAILERS LLC <br /> CRLLC # 54.47 <br /> 7180 KOLL CENTER PKWY STE 100 <br /> PLEASANTON CA 94566-3184 <br /> 7023.rpt <br />