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<br /> SAN JOAQUTN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 1868-E.Hazelton Ave. Stockton,CA 95205-6232 a Phone(209)468-3420
<br /> Donna Heran,R.E.H.S.,Director
<br /> ENVIRONMENTAL HEALTH � t
<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 /> 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 2 Iifornia Code of Regulations,Cha 20
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<br /> PR0231126 2300 UNDERGROUND STORAGE TANK FACILITY 1/1/2013 To 12/31/2013'
<br /> Underground Stora a Tank roar
<br /> California Health and Safety ode Div.20 Chap.6.7 and Title 23 California Code of Regulations Chap.16. 5 ;
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<br /> P/E Tank Tank Record ID Permal Capacity Contents Permit Status System Type EM
<br /> 2362 5 390002311260507777 PT000929112,000 REGULAR UNLEADED Active,billable
<br /> DOUBLE-WALL Continuous
<br /> 2360 6 390002311260507778 PT0009292 10,000 PREMIUM UNLEADED Active,billable DOUBLE-WALL Continuoustnterstt#ldt
<br /> 2360 7 390002311260507779 PT0009293 10;000 MIDGRADE UNLEADED Active,billable DOUBLE-WALL Continuous Intersrftli
<br /> 2360 8 390002311260507780 RT0009294 10,000 DIESEL Active,billable DOUBLE-WALL Continuous lnterstitidlMon
<br /> BOE ID#: 44046354
<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 Condition&
<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,vondthoA ,
<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 bO t
<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.7-bee Y'
<br /> rppnitoring,response,and plot plans shall be maintained onsite with the permit. w
<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,slid,
<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 ResponsePtan
<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 monitttri Ikas
<br /> performed.
<br /> 9) The ERD shall be notified of any change in ownership or operation of the UST system within 36 days of such change. tet',
<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 /> 1 l) Construction;repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment. y '
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<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.
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<br /> 1.3) 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.
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<br /> ms`s
<br /> PERMIT(s)Valid only for: CONVENIENCE RETAILERS LLC
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> CIRCLE " ,.
<br /> K/76#2705447 Facility 1D FA0001570
<br /> Regulated Facility: Account ID
<br /> 1469 E HAMMER LN AR0003507 t
<br /> STOCKTON CA ;95210 issued 2/19/2013` ;
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<br /> Billing Address: ATTN LICENSES & PERMITS / K SPRAGUE
<br /> CIRCLE K/76 #2705447
<br /> 7180 KOLL CENTER PKWY STE 100
<br /> PLEASANTON CA 94566-3184
<br /> 7023.rpt
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