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<br />IN COUNTY` ENVIRONMENTAL HEALTH DEPART
<br />600 E. Main St. • Stockton, CA 95202-3029 • Phone (209)
<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
<br />Valid
<br />PRO506233 PT0008696 2220 - SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/112012 To 12131/2012
<br />Hazardous Waste Generator Program:.y,;
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<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, California Code of Regulations, Chap. 20_
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<br />PR0231430 2300 - UNDERGROUND STORAGE TANK FACILITY 1/1/2012 To 12131/2012
<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 4 390002314300507863 PT0009356 12,000 PREMIUM UNLEADED Active, billable DOUBLE WALLED Continuous Interstitial Monitoring
<br />2360 5 390002314300507864 PT0009355 12,000 REGULAR UNLEADED Active, billable DOUBLE WALLED Continuous Interstitial Monitoring
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<br />Underground Storage Tank Permit Conditions tr
<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)
<br />onditions 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. y "
<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 LIST Permit Conditions. The approved .
<br />monitoring, response, and plot plans shall be maintained onsite with the permit
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<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 E
<br />performed: q,
<br />9) The EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change. r t
<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 t
<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
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<br />- Billing Address:' '
<br />f QUIK STOP MARKET #2121
<br />4567 ENTERPRISE STr`
<br />FREMONT CA 94538-7605`,",
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<br />I 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
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<br />Y QUIK STOP MARKET #2121_x, _ Y h
<br />Regulated Facility: t sx x�,r
<br />Facility ID FA0000848
<br />1196 W LOUISE AVE " a, k 4
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<br />Account la AR0002241r
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<br />MANTECA CA 95336 "��f xt� '�'* sA
<br />Issued 2/10/2012
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<br />- Billing Address:' '
<br />f QUIK STOP MARKET #2121
<br />4567 ENTERPRISE STr`
<br />FREMONT CA 94538-7605`,",
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