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<br /> g SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT x
<br /> 1868 E. Hazelton Ave. • Stockton,CA 95205-6232 • Phone (209) 468-3420 't ;i �kr
<br /> C Donna Heran,R.E.H.S.,Director °r
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<br /> ENVIRONMENTAL HEALTH
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<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit Permit
<br /> Record lD Number Program Code and Description Valid
<br /> PRO506233 PT0008696 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 seq, and Title 22, fornia Code of Regulations,Chap.20_
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<br /> PR0231430 Pr2300- NDERGROUND STORAGE TANK FACILITY 1/1/2013 To 12/31/2013
<br /> Underground Storage Tants o ra
<br /> California Health and SafALGade, Div._20, Chap.6.7 and Title 23, California Code of Regulations,Chap_16 :
<br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status - System Type Leak Detection
<br /> 2362 4 390002314300507863 PT0009356 12,000 PREMIUM UNLEADED Active, billable DOUBLE-WALL Continuous Interstitial Monitoring
<br /> 2360 5 390002314300507864 PT0009355 12,000 REGULAR UNLEADED Active,billable !" DOUBLE-WALL Continuous Interstitial Monitoring
<br /> BOE ID#: 44018763
<br /> Underground Storage Tank Permit Conditionsw.
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<br /> I) 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 pennit.
<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 /> 1) 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 aperiod 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 dates) indicated. s
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<br /> PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s) Valid only for: QUIK STOP MARKETS INC
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> QUIK STOP MARKET#2121 3°t r '` ' Facility ID FA0000848g�
<br /> Regulated Facility: r
<br /> 1196 W LOUISE AVE � �' Account IDS
<br /> E, x AR0002241U kb
<br /> MANTECA CA 95336 Issued 2/19/2013
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<br /> Belling Address: r ;. F
<br /> QUIK STOP MARKET #2121 £' 21 - �
<br /> 4567 ENTERPRISE ST
<br /> FREMONT CA 94538-7605 .;
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