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<br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> zv 600E Main St. • Stockton,CA 95202-3029 • Phone(209)468-_3420,
<br /> t'. Donna Heran,R.E.H.S.,Director '
<br /> ENVIRONMENTAL HEALTH ' y , , ` ; a
<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 /> �. PRO521556 PT0014544 2220 SMALL(�UrANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2012 To 12/31/2012
<br /> Hazardous Waste Generator Programs
<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 /> PR0231476 2300 UNDERGROUND STORAGE TANK FACILITY 1/1/2012 To 12/3112p12i
<br /> Underground Storage Tank Proctram`. R
<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 /> I P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2362 1 390002314760147601 PT0004452 10,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 2 390002314760147602 PT0004453 10,000PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 3 390,02314760147603 PT0004455 8,000 DIESEL Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
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<br /> Underground Storage Tank Permit Conditions
<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 ffiyk�
<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 /> Y 5) The Permittee shall comply with the monitoring procedures referenced in this permit «" °A` `
<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 x r
<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 rate shall not be considered c �
<br /> Operate permission to violate any laws,ordinances or statutes of any other Federal,State or Locai agency
<br /> 13) A"Conditional"Permit may be revoked ifcorrections specified on the inspection report are not completed by the date(s) indicated. v
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<br /> PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause.
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<br /> PERMIT(s)Valid only for: QUIK STOP MARKETS INC
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility:
<br /> QUIK STOP MARKET#3125 =s i s ,*' r f s a ,f Y, t '�� r Facility ID FA0000684 "
<br /> 1580 W MAIN ST �k Y ;, Account ID AR0000683Ih
<br /> RIPON CA 95366 5 ' "? ' ,y ,` ;
<br /> c e s r Issued
<br /> " F '� , { r .. EG 2/10/2012
<br /> Billing Address:
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<br /> QUIK STOP MARKET #3125 f ,,, r ed a "
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<br /> x 4567 ENTERPRISE STt. r� ° r+ &
<br /> t za _ a2w,
<br /> FREMONT CA 94538-7605
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