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r.. <br /> SAN JOAV U OUNTY E O MENTAL <br /> Q NVIR, 1�i , HEALAEPARTMENT <br /> �00 E.Main St. a Stockton,CA 95202-3029 • Phone(209)468-3420 <br /> Donna Heran,R.E.H.S., Director <br /> ENVIRONMENTAL HEATH ` <br /> SAN JOAQUIN COUNTY CEROFIED UNIFIED PROGRAM AGENCY <br /> PERMI "Ii 1DPER�1 if'y: <br /> Program Permit <br /> Record ID Number Program Code and Description Permit <br /> Pali. <br /> PR0518707 PT0012173 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2008 To tZ/31/2008 <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 /> Sec 25100 et - d1 - <br /> -- - - -- Uprnia_Code of Reglations,Chap. <br /> --- 20. <br /> -------- ---- - ----------------------------------------------------- <br /> PW <br /> -- --- -PW32257 2300. DERGROUND STORAGE TANK FACILITY 1/1/2008 To 12/31/2008 <br /> tincierground Storaa�Iartk P gram: <br /> Cahfornla Health and Safety Code,Div.20,Chap.6.7 and Title 23,California Code of Re Regulations,Chap 16 <br /> ----------------- - - ------------------------------------------------------------ --- -- ----------- <br /> P Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type ` 1eak Detection <br /> 2362 1 390002322570225701 PT0004459 10,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> 2360 2 390002322570225702 PT0004460 10,000 MIDGRADE UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> 2360 3 390002322570225703 PT0004461 8,000 MIDGRADE UNLEADED Active,billable , DOUBLE WALLED Continuous Interstitial Monitoring <br /> dE ICI# 44-024931 <br /> " Underground Storage Tank Permit Conditions .; <br /> fr � <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 Pitt Conititions. <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,Tide 23,Chap.16 and 18,as well as any conditions <br /> established by San JoaquinCotinty.' <br /> " 3) If the Tank Operator(s)is ditteent 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 reeetve"8"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 petn?it. <br /> r <br />' 6) The Permittee shall perform testing and preventive maintenance on all,icat tletection monitoring equipment annually,or more fr qe ty if specified by the equipment manufacturer,and <br /> provide documentation of such servicing to this office. <br /> 7) Iri_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 /> Written records of all monitoring performed shall be maintained on-site by the operator.and be available for inspection for a periodof at,least hree 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 Wdays of such change. <br /> 10) Upon any change in equipment,design or operation of the UST system(including change in4ank contents or usage),the Permit to Operate will be subject to reviBiv,tnpdtf►oation or, <br /> revocation. <br /> 11) Construction,repair#nd/pr removal permits are required from the EHD prior to any change,repair.orrremoval of UST system equipment:, ; <br /> 12) The.Permittee shall submit an annual report documeridi1g.compliance with the UST Pennit Conditions within 30 days of the date of the,ispuanee bfthus <br /> 13) TW!s,,Permit to Operate shall not be considered permission to violate any laws,ordinances or statutes of any other Federal,Stan pr-U"agetroy. <br /> 14) A"Conditional"Permit maybe revoked if correctio4.;s eFified 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 , k <br /> Tank Owner: QUIK STOP MARKETS <br /> TIIIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: QUIK STOP MARKET#148* M '� �` am '•, Facility ID FA0000670 •« . <br /> 205 W LOCKEFORD STi ` % Account ID AR0000669 <br /> LODI CA 95240 c ' Issued <br /> L k r 2/8/2008 <br /> Billing Address,,,' n �< � a <br /> QUIK STOP MARKET <br /> 4567 ENTERPRISE <br /> yy Y. .Z• S 1':'S k Y <br /> t FREMONT CA 94538 <br /> y 1 x <br />