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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT COpr <br /> 304 E-Weber Ave.,Third Floor• Stodnon,CA 95202-2708• Phone(209)468-3420 <br /> Donna Heran,R.EH.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Permit <br /> Program PermitValid <br /> Record ID Number Program Code and Description <br /> PRO521716 PT0014673 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1111122004 To 12/31/2004 <br /> Hazardous Waste Generator Proaram: <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 /> See 25100 et Be and Title 22,California Code of Regulations,_-_ap.----,._--____--------------------------------------------------------------------"'--" ' <br /> 11112004 To 12/31/2004 <br /> PR0231532 2300-UNDERGROUND STORAGE TANK FACILITY <br /> Underoround Storage Tank Proaram• <br /> Califomia Health and SafetyCode,Div.20,Chap:6.7 and Title 23,Califomia Code of Regulations,Chap,16_ _._--__ -------- <br /> -------------------- <br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection <br /> REGULAR UNLEADED ACdve,billable DOUBLE WALLED Caronuce,Interstitial Monitoring <br /> 2362 4 390002315320506754 PT0009046 12,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED C truces lmerstlual Monitoring <br /> 2360 5 390002315320506755 PT0009045 12,000 <br /> Underground Storage Tank Permit Conditions <br /> I) The Permit W 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 /> /; with the H&S Code,Div.20,Chap.6.7 and 6.75;and CCR,Title 23,Chap.16 and I s.as well as any conditions <br /> 2) In order w maintain the operating permit,the owner and operator shall comp <br /> established by San Joaquin County. <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 Perr_'aee 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 most be approved by the Environmental Health Department(EHD)and are comidererd UST Pena!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 perrmt. <br /> 6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently if specified by the=._'prem manufacturer,and <br /> provide documentation of such servicing to this office. <br /> 7) In the event of spill,leak,or other unauthorized release.the Permute shall comply with the requirements of Title 23 CCR,Chap.16,An.5,and the approved Emergency Response Plan. <br /> 8) Written records of all monitoring performed shall he maintained on-site by the operator and be available for inspection for a period of at least three years from_e date the monitoring was <br /> performed. <br /> 9) The EHD shall be notified of any change in ownership or operation of the L'T 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) 6fflKd81416n,repair and/or removal pests are required from the EHD prior w any change,repair or removal of UST system equipment. <br /> 12) The Pemuttee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the 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 maybe 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: CIRCLE K STORES INC <br /> DBA: CONOCOPHILLIPS COMPANY <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility CIRCLE K STORE #1205 ccountID ID AR0000185 <br /> 16470 CAMBRIDGE ST AaDssued AR0000184 <br /> LATHROP, CA 95330 ed 411/2004 <br /> Billing Address: ATTN LICENSING DEPT DC-36 <br /> CIRCLE K STORE #1205 <br /> PO BOX 52085 <br /> PHOENIX, AZ 85072-2085 <br /> 7023.rpt <br />