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SANOA UIN COUN'T'Y ENVIRONMENTAL HEALTH DEPARTMENT <br /> J Q <br /> .304 E Wcber Ave.,Third Door•Soockcon,CA 95202-2708 is Phone(209)_468-34X — <br /> Donna Heran,R.F-H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAMAGENCY <br /> PERMIT TO OPERATE <br /> Program Permit Permit <br /> Record ID Number Program Cade and Description Valid <br /> PRO518707 PT0012173. 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2004 To 12/31/2004 <br /> Hazardous Waste Generator Prooram: <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 Rtulations;Chap.20_ - <br /> PRO232257 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2004 To 12/31/2004 <br /> Underground Storaae Tank Proaram: <br /> California Health andSafety Code,Div_20 Chap.6.7 and Tltie 23,_CaUfornia Code of Regulations,Chap 16 <br /> P Tank III Record ID, Permit# Capacity". Contents" Permit Status ' System Type Leak Detection <br /> 2360 3' 390002322570225703 PT0004461 8,000 MIDGRADE UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> 23W 2 3900023M5702257M 'PTOW4460 10,000 MIDGRADE UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> 2362 1 390002322570225701 PTOW4459 .10,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> a Underground Storage Tank Permit Conditions <br /> 1) The Permit to Operate will become void if Annual Pemmit Fees and Service Fees ge 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 pemtiy 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 arty conditions <br /> established by San Joaquin County. <br /> 3) If time 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 ensurethat both <br /> the Tank Owner and tank Operator receive a copy ofthe permit <br /> y 4 Wn ten bAoniton Procedures and an Emergency Plan mast be approved the Environmental Health and are considererd UST Permit Conditions. The approved <br /> ng 8 y' aPpro by (�1 <br /> mooring,response,and plot plans shall be maintained onsite with the permit <br /> 5) The Permittee shall comply with the monitoring procedu=referencedin this pemrit <br /> 6) The Permittee shall perform testing and preventive maintenance on all.leak detection monitoring equipment annually,or more frequently if specified bythe 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,time 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 tbree years tion the date the monitoring was <br /> performed <br /> 9) "The EHb shallbe mtotified of any change in ownership or operation of theUST 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 suhject to review,modification or <br /> 11) MW95bri,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment: <br /> 12} The Permittee shall submit an arcual report documenting compliance with the UST Permit Conditions:wdtbiu 30 days of the date of the issuance of this permit: <br /> 13) 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 /> 14) A"Conditional"Permit maybe revoked if corrections specified on the inspection report are not completed by the date(s)indicated <br /> PERMITS TO OPERATE are NOT TRANSFERABLE ` <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: QUIK STOP MARKETS INC <br /> DBA: QUIK STOP MARKET#124 <br /> Tank Owner: QUIK STOP MARKETS <br /> TM FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility QUIK STOP MARKET#148* Facility ID FA0000670 <br /> 205 W LOCKEFORD ST Account ID AR0000669 <br /> LODI,.CA' 95240 Issued 4/1/2004 <br /> Billing Address: <br /> QUIK STOP MARKET #148* <br /> 456T ENTERPRISE ST <br /> FREMONT, CA 94538-7605 <br /> 7023.rpt <br />