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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E. Main St. • Stockton,CA 95202-3029 • Phone (209)468-3420 y <br /> 5 <br /> Donna Heran,R.E.H.S., Director - <br /> ENVIRONMENTAL HEA 'XI H <br /> SAN JOAQUIN COUNTY:C1* IED UNIFIED PROGRAM AGENCY <br /> PERIVft1jQ OPERATE <br /> Program Permit Permit <br /> Record ID Number Program Code and Description <br /> Valid <br /> WPI PT0012173 2220-SMALL QUANTITY HAZARDOUS WASTE GENERA TQR,FACILITY 1/1/2009 To 12/31/2009 <br /> Hazardous Waste Generator Program: <br /> In order to maintain the permitt pperate, 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,_C411fornia Code of Regulations,Chap.20_ <br /> ..................... - - ................. ----- --- --------- --------- ------------- <br /> PR0232257 2300-'UNDERGROUND STORAGE TANK FACILITY 1/1/2009 To 12/31/2009 <br /> < Underground Storage Tank Program: t, <br /> Galif rnia Health and Safe de,Div 20,Cha__6.7 and Title 23 ;California Code of Regulations,Chap. 16. <br /> - P =. <br /> --- <br /> P/13\ 'Tank#'i nk Rdcord ID Permit# Capacity� Contents Permit Status System Type <br /> 4akDetection <br /> 2362 1 390002322570225701 PT0004459,. 10,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> 2361) - 2 390002322570225702 PT000446b.; 10,000 MIDGRADE UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> 2 ;`. 390042322570225703 PT0004461 8,000 MIDGRADE UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring ' „q <br /> Un(ergroundSt0 10 Tank Permit Conditions <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 Sau Jgaggin 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 /> 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,of,a*q i3`equently 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 ReVonse 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,iu pwnerslpp or operation of the UST system within 30 days of such change. <br /> 10) Upon any change in equipment,design or ope a' 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 ar'e required from the EHD prior to any change,repair or removal of UST sys;9m equipment. <br /> 12) The Permittee shall submit an annual report Aecumenting compliance with the UST Permit Conditions within 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 aa;©ther Federal,State or Local agency. <br /> 14) A"Conditional'Permit may be revoked if corrections specified on the inspection report are not eOtopletedby the date(s),indicated.. , <br /> PERMITS TO AERATE are NOT TRANSFERABLE <br /> and may be WSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: QUIK STOP MARKETS INC k <br /> Tank Owner: QUIK STOP MARKETS <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: QUIK STOP MARKET#148* r Facility ID FA0000670 <br /> 205 W LOCKEFORD ST x Account ID AR0000669 <br /> LODI CA 95240" Issued 214/2009 <br /> Billing Address: <br /> r,- QUIK STOP MARKET #148* <br /> 4567 ENTERPRISE <br /> 4c t <br /> 4 FREMONT CA 94538— <br /> v, <br /> 4538 7605 a t h <br /> _, r s a tri r �� s,•.. � � -r '"", y :�t a "`' ,�^��.f-+' ��#���t�f,.ys ��.,-,`� � � � sws <br /> i <br />