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<br /> SAN JOAQUIN i OUNTY ENVIRONIVH;N'TAL HEALTH D PARTMElV'T
<br /> 1868 E.Hazelton Ave. • Stockton,CA 95205-6232 9 Phone(209)468-3420
<br /> Donna Heran,R.E.H.S.,Director
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit Permit
<br /> i Record ID Number Program Code and Description Valid
<br /> PRO518707 PT0012173 2220-SMALL QUANTITY HAZARDOUS-WASTE GENERATOR FACILITY 1/1/2013 To 12/31/2013 -
<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 seq and Title 22,C ifornia Code of Regulations,Chap.20_
<br /> PR0232257 2300- NDERGROUND STORAGE TANK FACILITY -1/1/2013 To 12/31/2013
<br /> n er ro n StorageTat,-Pr r
<br /> California Health and Saf t Co Div,20,Chap.6.7 and Title 23,California Code of Regulations,Chap 16.
<br /> P E Tank# Tank Record ID Permtf# Capacity Contents Permit Status System Type Leak Detection
<br /> "
<br /> 2362- 1 390002322570225701. .PT0004459 10,000 REGULAR UNLEADED Active,billable DOUBLE-WALL Continuous Interstitial Monitoring
<br /> 2360 2 390002322570225702 PT0004460 .10;000 'MIDGRADE UNLEADED Active,billable - DOUBLE-WALL Continuous Interstitial Monitoring
<br /> 2360 3 390002322570225703 PT0004461 8,000 PREMIUM UNLEADED Active,billable. _ DOUBLE-WALL Continuous Interstitial Monitoring
<br /> _ BOE ID#:`44018763
<br /> Underground Storage 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 San Joaquin County.
<br /> 3) If the Tank Operators)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 Ownei and tank Operator receive a copy of the,permit
<br /> 4) Written Monitoring Prodeduies 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 /> i 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,or more frequently if specified by the equipment manufacturer,and
<br /> f ` provide documentation of such servicing to this office.:-.
<br /> r 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,'ArL:5,and the approved Emergency Response Plan.._
<br /> 8) Written records of ail 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
<br /> revocation.
<br /> 11) Construction,repair and/or removal permits are required from the EHD prior to any change,Sepatr or removal of UST system equipment.
<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.
<br /> 13) A"Conditional"Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated.
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<br /> PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause..
<br /> - PERMIT(s)Valid only for: QUIK STOP MARKETS INC
<br /> I' Tank Owner: QUIK STOP MARKETS
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> QUIK STOP MARKET#3148* Facility ID FA0000670
<br /> Regulated Facility. 205W LOCKEFORD ST Account ID AR0000669
<br /> LODI CA 95240 " Issued 2/19/2013
<br /> Billing Address:
<br /> QUIK STOP MARKET #3148*
<br /> 4567..ENTERPRISE ST
<br /> ' FREMONT CA 94538-7'605'
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