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.' ; ;. � .i� a- �" �•}r ,ai� •.S,i�7�' �.-` s {{ '? ttL z 4' r s <br /> t s <br /> SAN JOAQUIN COUNTY ENVIl20NMENTAL HEALTH DEPARTMENT = <br /> L 600E Main St. • Stockton, CA 95202-3029 • Phone(209)468-3420 <br /> Donna Heran,R.E.H.S.,Director f: <br /> x <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Program Permit Permit <br /> Record ID Number Program Code and Description z., <br /> Valid <br /> PR0518706 PT0012172 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 111!2012 To 12/31/2012 }' <br /> Hazardous Waste Generator Program g <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,California Code of Regulations,Chap.20. <br /> --------------------- ---- <br /> ---------------------------------------------------- - --- ---- — <br /> PR0232355 2300-UNDERGROUND STORAGE TANK FACILITY <br /> Underground Storage Tank Program f' 1/1/2012 To 12/31/2012 a <br /> California Health and Safety Code,Div.20,Chap._6.7 and Title 23 Ca 6 � ;4 rs <br /> hfoml..Code of Regulations Chap_ 16_ r <br /> ------------------------ -------- ---- <br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection <br /> 2362 1 390002323550235501 PT0004426 10,000 REGULAR UNLEADED <br /> Active,billable DOUBLE WALLED Continuous Interstitial Monitoring a <br /> 2360 2 390002323550235502 PT0004427 10,000 MIDGRADE UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring �. <br /> 2360 3 390002323550235503 PT0004429 8,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> Jr <br /> .r <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 to compliance with these Permit Conditions *y� <br /> a ., <br /> 2) In order to maintain the operating permit,the owner and operator shall comply with the H&S Code,Div,2Q Chap.6.7 and 6.75;and CCR,Title 23,Chap.16 and 18,as well as any conditions <br /> established by San Joagton County. y <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. Thea approved <br /> monitoring,response,and plot plans shall be maintained onsite with the permit pPr d <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 Ie <br /> provide documentation of such servicing to this office. <br /> 7) In the event of a spill,leak,or other unauthorized release,the Petmitee shall comply with the requirements of Title 23 CCR,Chap.16,Art.5,and the approved Emergency Response Pian . <br /> 3 d <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. q <br /> 9) The EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change.' { « r r, rrt `a <br /> t <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 zIt `t <br /> revocation. t <br /> 1 ) Construction,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment. <br /> Y s+n <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.. .r <br /> 13) A"Conditional"Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated a r <br /> g <br /> ------------- <br /> - - - --- ----- ---------- <br /> • 'r s f• `t a � ti ( '+a s �r r t avl,;� � • �`- ,t:. , r� ,l'fp <br /> y f W <br /> aK 3, T <br /> PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause. <br /> rt <br /> PERMIT(s)Valid only for: QUIK STOP MARKETS INC <br /> 4. <br /> Tank Owner: QUIK STOP MARKETS ' ` $ r <br /> s;xt- <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: QUIK STOP MARKET#2152 :`' � * � .at*} F _ y; Facility ID FA0000591 <br /> 1721 S CHEROKEE LN# 1 Account ID ��kt� , <br /> 4 x b AR0000590 , <br /> LODI CA 95240 �ht May I�� ti ria,. Issued 2/10/2012 <br /> v '• a t a t �"' Yr�9 tr' _ ,t '' '.a dz�l x 1 3� <br /> Billing Address: �r r i tsaro �' s rt ? taw r <br /> QUIK STOP MARKET #2152 r '' + , ' t I�' N Ir <br /> 4567 ENTERPRISE ST <br /> FREMONT CA 94538-7605 <br /> 2 ) b f <br /> .s K $ fal' r ids X YD 7y <br /> t � <br /> e x .. .„ <br /> � r .�. °.4> 3's ,s y-. h�,a.a ,,ai''a, ,. . . . .. -, ..,. r'z •..��."`. <br />