|
SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 304 E.Weber Ave.,Third Floor•Slodchon,CA 95202-2708•Phone(209)468-3420
<br /> F71�.N�DI oounra Hcran,REH..S..,�Director 1 �7T
<br /> SAN JOAti COiINT (!AW6]�'It%&M AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit
<br /> Record ID Number Program Code and
<br /> Description Permit
<br /> Valid
<br /> PR0521T16 PT0014673 2220-SMALL UANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2005 To 12/31/2005
<br /> Hazardous Waste Generator ProDtamm
<br /> In order tomaintainthe 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,anA Title 22,California Code of Regulations,Chap_20,_____--
<br /> _____ __ --------- -------------------------------- --------- ------------- ---------- - ------
<br /> PR0231632 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2005 To 12/31/2005
<br /> Underground Storage Tank Program,
<br /> California Health and Safety Code.Div_20,Chap.6.7 and Title 23,California Code of Regulations,C_h__ap. 16.
<br /> ----- ------------------
<br /> pacity Contents '-- Parma Status
<br /> P/E Tank Tan Record m Permit Ca
<br /> System Type Lealt Detection
<br /> 2362 4 390002315320506754 PT0009046 12,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Cominucus lntentitial Monitoring
<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 Permit Fees and Service Fees are not paid and/or the UST syswm(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,Clap.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 /> 3) If the Tank Operatar(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 Permiaee sial)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 considererd UST Permit Conditions The approved
<br /> monitoring,response,and plot plans shall be maintained onsite with the permit.
<br /> 5) The Pemtittee 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 /> revocation.
<br /> 11) Construction,repair and/or removal pemuts 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 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 ifcorections 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 FacilityID FA0000185
<br /> 16470 CAMBRIDGE ST Account to AR0000184
<br /> LATHROP, CA 95330 Issued 2/10/2005
<br /> Billing Address: ATTN : LICENSING DEPT DC-36
<br /> CIRCLE K STORE #1205
<br /> PO BOX 52085
<br /> PHOENIX, AZ 85072-2085
<br /> 7023 pt
<br />
|