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<br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT'.. NMI,
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<br /> 186£ E. Hazelton Ave. • Stockton,CA 95205-6232 • Phone (209) 468-3420 'Donna Heran,R.E.H.S.,Director. st
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<br /> ` rF1r4 ' ENVIRONMENTAL HEALTH `b
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit Permit
<br /> Record ID Number Program Code and Description Valid
<br /> PRO518491 PT0012050 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 2Z..Caalifornia Code of Regulations,Chap.20:
<br /> ------ ------------------------------------------------------•--------------- ------- ---------
<br /> PR051-6472 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2013 To 12/31/2013
<br /> Underground Storage Tank Program:
<br /> California Health and Safety Code, Div.20,Chap.6.7 and Title 23,California Code of Regulations,Chap._16.
<br /> ----------------------------------------------- ------ ------ --------------- -- ---------- -----r.
<br /> P/E Tank 9 Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2362 1 390005164720515543 PT0011307 20,000 REGULAR UNLEADED Active, billable DOUBLE-WALL Continuous Interstitial Monitoring '
<br /> 2360 2 390005164720515544 PT0011308 15,000 PREMIUM UNLEADED Active,billable DOUBLE-WALL Continuous Interstitial Monitoring
<br /> BOE ID#:-_44040628 .
<br /> Underground Storage Tank Permit Conditions
<br />}4 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 /> It 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 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 /> r 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.
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<br /> y � 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 /> revocations ter`
<br /> 11) Construction,repair and/or removal permits are required from the EHD prior to any change,repair 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
<br /> - -• -- ----------------- PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause.
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<br /> PERMIT(s)Valid only for: PACIFIC CONVENIENCE & FUELS
<br /> Tank Owner: CONVENIENCE RETAILERS LLC
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> C STOP #5449 %'t Facility ID FA0012628
<br /> Regulated Facility: ¥ r , Account ID
<br /> 322 S CENTER ST �4a,i AR0020874 �
<br /> ` _ ar Issued
<br /> STOCKTON CA 95203j` 2/19/20131
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<br /> Billing Address:
<br /> PACIFIC CONVENIENCE & FUELS
<br /> r 7108 KOLL CENTER PKWY STE 100 � � -.
<br /> PLEASANT
<br /> ON CA 94566, 7r
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