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<br /> SAN JOAQUIN COUNTY ENVIRO�TAUNTAL HEALTH DEPARTMENT
<br /> 1868 E.Hazelton Ave. • Stockton, CA 95205-6232 • Phone (209)468-3420
<br /> Donna Heran,R.E.H.S.,Director �"
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<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY .'
<br /> PERMIT TO OPERATE
<br /> Program Permit Permit
<br /> Record 1D Number Program Code and Description Valid
<br /> PR0521536 PT0014538 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2013 To 12/31/2013
<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 seg,and_Title 22,California Code of_Regulations,Chap._20_________
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<br /> PR0231413 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2013 To 12/31/2013
<br /> Underground Storage 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 1." ''390002314130141301 PT0004431 10,000 REGULAR UNLEADED Active,billable DOUBLE-WALL Continuous Interstitial Monitoring
<br /> 2360 2 390002314130141302 PT0004432 10,000 MIDGRADE UNLEADED Active,billable DOUBLE-WALL Continuous Interstitial Monitoring
<br /> 2360 3 390002314130141303 PT0004433 8,000 PREMIUM UNLEADED Active,billable DOUBLE-WALL Continuous Interstitial Monitoring
<br /> BOE 1D#: 44018763 `a
<br /> Underground Storage Tank Permit Conditions
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<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
<br /> p p p tank the Permittee shall ensuret hat 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 Pennit Conditions. The approved4
<br /> monitoring,response,and plot plans shall be maintained onsite with the permit.
<br /> 5) The Pennittee 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. t r p 3 j
<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 1) Construction,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equip
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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.
<br /> 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. x yrs fiu
<br /> PERMIT(s) Valid only for: QUIK STOP MARKETS INC
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> QUIK STOP MARKET#3138
<br /> Facility FA0003122 A'
<br /> Regulated Facility:
<br /> 1153 LINCOLN BLVDHM AccountlD AR0002686
<br /> TRACY CA 95376 `� � �*. a Issued 2/19/2013
<br /> Billing Address:
<br /> QUIK STOP MARKET #3138
<br /> 4567 ENTERPRISE ST
<br /> FREMONT CA 94538-7605
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