|
SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 304 E.Webs Ave.,Third Floor•Stockton,CA 95202-2708♦Phone,(209)468-3420
<br /> Donna Haan,R.EH.S.,Director
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit Pzrmil
<br /> Record 11) Norther Program Code and Description Valid
<br /> PRO521716 PT0014673 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2006 To 12/3'112006
<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 seg,_and Title 22,Califomia Code of Regulations,Chap_20,-----------------------------------------'-- —'----- -----
<br /> PR0231532 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2006 To 12/31/2006
<br /> Undemround Storage Tank Program, -
<br /> California Health and Safely Code,Div.20,Chap.6.7 and Title 23,California Code of Regulations,Chap,16, _ _
<br /> ---- --------------- -------"- - — -_hs ------ -------- --------
<br /> P/E Tank Tank Record ED Permit# Capacity Contents ,Permit Status System Type Leak Deteaton
<br /> 2362 4 390002315320506754 PT0009046 12,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Coatimmus Interstitial Maffionng
<br /> 2360 5 .390002315320506755 PT0009045 12,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED continuous interstitial Monitoring
<br /> Underground Storage Tank Permit Conditions
<br /> 1) The Permit to Operate will become void if Annual Peanut Fees and Service Fees are not paid and/or the UST system(s)fails to remain in compliance with mese 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.6.7and 6.75;and CCA,Title 23,Chap.16 and 18,as well as any conditions
<br /> established by San Joaquin County,
<br /> 3) If the Tank Opermor(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 most be approved by the Environmental Health Department(EHD)and are.waddercrel 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 peanut.
<br /> 6) The Perrnitte s 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 once. -
<br /> 7) In the event of a spill,leak,or other umtuthorized mime.the Pernitee shall comply with the requirements of Tide 23 CCR,Chap.16,Am 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 my change in ownership or operation of the UST system within 30 days of such change.
<br /> 10) -Upon my change inequipment,design or operation of the UST system(including change in tank contents or usage),the Permit to Operate will be subject in review,modification or
<br /> revocation
<br /> 11) Construction,repair and/or removal peanuts we required from the EHD prior to my change,repay or removal of UST system equipment.
<br /> 12) The Pemuttee sba0 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 he considered permission to violate my 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 me 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 /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility: CIRCLE K STORE#1205 Facility ID FA0000185
<br /> 16470 CAMBRIDGE ST Account1D AR0000184
<br /> LATHROP CA 95330 Issued 2/3/2006
<br /> Billing Address: ATTN : B ANDERSON, LICENSES/PERMITS
<br /> CIRCLE K STORE#1205*
<br /> 495 E RINCON ST STE 150
<br /> CORONA CA 92879
<br /> IM.tpt
<br />
|