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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT a <br /> 1868 E.Hazelton Ave. • Stockton,CA 95205-6232 • Phone(209) 468-3420 <br /> Donna Heran,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH Ix <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE r <br /> Program Permit Permit <br /> Record ID Number Program Code and Description Valid <br /> '.IT, <br /> PRO521556 PT0014544 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2014 To 12/31/2014 ' <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 /> Set,.25100 et seq, and Title 2211 <br /> PRO231476300YbID RGROUND STORAGE TANK FACILITY 1/1/2014 To 12/31/2014 <br /> Underground Storage rogram: <br /> California Health and Safety Code, Div.20,Chap.6.7 and Title 23,California Code of Regulations, Chap_16. <br /> -------- ----- ------- ------------ ----- -------- ---- ---------- r <br /> 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-WALL Continuous Monitoring ; <br /> r <br /> 2360 2 390002314760147602 PT0004453 10,000 PREMIUM UNLEADED ACTIVE,BILLABLE DOUBLE-WALL continuous Monitoring k d`ti <br /> 2360 3 390002314760147603 PT0004455 8,000 DIESEL ACTIVE,BILLABLE DOUBLE-WALL Continuous Monitoring s° <br /> BOE ID#: 44018763 <br /> Underground Storage Tank Permit Conditions <br /> x <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 tank,the Permittee shall ensure that both atM k <br /> 1 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 4 <br /> monitoring,response,and plot plans shall be maintained onsite with the permit. ti <br /> 5) The Penmittee shall comply with the monitoring procedures referenced in this pen-nit. a(r <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,ands, <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,AR.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 irk <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 ori;,. <br /> .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. x a § <br /> t <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. a a <br /> 13) A"Conditional"Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated. .. <br /> ------- ----------------------- ----------------------- -------- ---------------- ------------- ----- ---------------------------------- ----- ------- -------- <br /> . . <br /> at �? <br /> 1IVf o <br /> PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause. <br /> 1 <br /> A <br /> 3 <br /> PERMIT(s)Valid only for: QUIK STOP MARKETS INC <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES` <br /> QUIK STOP MARKET#3125 Facility ID FA0000684 <br /> Regulated Facility: Account ID ' <br /> AR0000683 <br /> 1580 W MAIN ST <br /> RIPON CA 95366 h ' Issued 2/27/2014E. <br /> rr r <br /> Billing Address: <br /> QUIK STOP MARKET #3125 {' <br /> 4567 ENTERPRISE ST { a <br /> FREMONT CA 94538-7605 ,t" <br /> 7023.rpt rt '} <br />