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SAN JOAQUIN COUNTY ENVIRONMENT,ow 0
<br /> AL HEALTDEPARTMENT
<br /> 304 E.Weber Ave.,Third Floor• Stockton,CA 95202-2708• 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 /> Permit
<br /> Program Permit
<br /> Record ID Number Program Code and Description Valid
<br /> PR0518706 PT0012172 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2003 To 12/31/2003
<br /> Hazardous Waste Generator Program:
<br /> California Health and Safety Code,Div.20,Chap.6.5,Art.2-13,Sec.25100 et seq,and Title 22,California Code of Regulations,Chap_20_________________________
<br /> ---------------------------------------------------------- _ - - -------------------------------
<br /> PR0232355 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2003 To 12/31/2003
<br /> Underground Storage Tank Program:
<br /> CaliforniaHealth and Safety Code,Div.20,Chap.6.7_and Title 23,_California Code_of Regulations,Chap. 16_
<br /> -lifor-a Health-- ---Safe- ---.20,-----
<br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2360 3 390002323550235503 PT0004429 8,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 2 390002323550235502 PT0004427 10,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2362 1 390002323550235501 PT0004426 10,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 00E!M '44-01876 r7"- .4
<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 /> Permit to Operate is issued to a person other than the owner or operator of the tank,the Permittee shall ensure that both
<br /> 3) If the Tank Operator(s)is different from the Tank Owner,or if the Perm
<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,or more frequently 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 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
<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 /> 11) MY%"n,repair and/or removal pemtits are required from the EHD prior to any change,repair or removal of UST system equipment.
<br /> 12) The Permittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the anniversary 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 may be 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 /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility: QUIK STOP MARKETS INC#1152 Facility ID FA0000591
<br /> 1721 S CHEROKEE LN # 1 Account ID AR0000590
<br /> LODI, CA 95240 Issued 5/1/2003
<br /> Billing Address:
<br /> QUIK STOP MARKETS INC #1152
<br /> 4567 ENTERPRISE ST
<br /> FREMONT, CA 94538-7605
<br /> 7023.rpt
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