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SAN JOAQUII\�,OUNTY ENVIRONMENTAL HEALT2 .DEPARTMENT 600 E. Main St. • Stockton,CA 95202-3029 • Phone(209)468-3420 Donna Heran,R.E.H.S.,Director ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Program Permit Permit Record ID Number Program Code and Description Valid PR0521716 PT0014673 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2010 To 12/31/2010 Hazardous Waste Generator Prourarm 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, Sec.25100 et seg and T III 22. lifornia Code of Regulations,Chap. _ _ _ _ _ _ .__._....___ _.._._..__....___-__ ----___.____.._.___---------------------------------- P=02 .____...............__._.__ PR0231532 2300-UNDE ROUND STORAGE TANK FACILITY 111/2010 To 12131/2010 Un ,ground Storage Tank Proaram CaPlfomia Health and Safety Code,Div.20,Chap.6.7 and Title 23,California Code of Regulations,Chap,16. --------------------- __ _ --- ------ ------- ------------ — ------------ ---- - P/E Tank# Tank Record ID Permit# Capacity on[ents Permit Status System Type Leak Detection 2362 4 390002315320506754 PT0009046 12,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring 2360 5 390002315320506755 PT0009045 12,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring BOB ID#: 44-000051 Underground Storage Tank Permit Conditions 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. 2) In order to maintain the operating permit,the owner and operator shag 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 established by San Joaquin County. 3) If the Tank Operamr(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 the Tank Owner and tank Operator receive a copy of the permit. 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Department(EHD)and are considererd UST Por it Conditions. The approved monitoring,response,and plot plans shall be maintained onsite with the permit. 5) The Permittee shall comply with the monitoring procedures referenced in this permit. 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 provide documentation of such servicing to this office. 7) In the event of a spill,leak,or other unauthorized release,the Permitee shall comply with the requirements of Tide 23 CCR Chap.16,Art.5,and the approved Emergency Response Plan. 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 performed. 9) The EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change. 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 revocation. 11) Construction,repair and/or removal permits are required from the RHO prior to goy change,repair or removal of UST system equipment. 12) The Permit.shall submit an normal report documenting compliance with the UST Permit Conditions within 30 days of the date of the issuance of this permit. 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. 14) A"Conditional'Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated. PERMITS TO OPERATE are NOT TRANSFERABLE and may be SUSPENDED or REVOKED for cause. PERMIT(s)Valid only for: CIRCLE K STORES INC THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES Regulated Facility: CIRCLE K STORE#1205 Facility'D FA0000185 16470 CAMBRIDGE ST Account ID AR0000184 LATHROP CA 95330 Issued 2/10/2010 Billing Address: ATTN : B ANDERSON, LICENSES/PERMITS CIRCLE K STORE #1205 495 E RINCON ST STE 150 CORONA CA 92679 7023 rpt