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<br /> SAN JOAQU)"rCOUNTY ENVIRONMENTAL HEALTH-15EPARTMENT
<br /> 304 E.Weber Ave.,Thud Floor• Stodaon,CA 95202-2708•Phone(209)468-3420
<br /> Donna Herm,R.EH.S.,Director
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE -
<br /> Program Permit Permit
<br /> RecordID Number Program Code and Description - Valid
<br /> PRO521716 PT0014673 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2006 To 12131112006
<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 at seq,and Title 22,California Code of Regulations_Chap.20,__,____ ____.________._
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<br /> PR0231532 2300-UNDERGROUND STORAGE TANK FACILITY 111/2006 To 12/3112006
<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 /> P/E Tank-# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2362 4 390002315320506754 PT0009046 12,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 5 390002315320506755 PT0009045 12,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
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<br /> Underground Storage Tank Permit Conditions
<br /> 1) The Permit to Operate will become void if Annual Permit Fees and Service Fees ate not paid and/or the UST systems)fails to remain in compliance with these Permit Conditions.
<br /> 2) In order to maintain the operating pernit,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 /> established by San Joaquin County.
<br /> 3) H.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 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)andare considererd UST Pemdt 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 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 Pemiitee shall comply with the requirements of Title 23 CCR,.Chap.16,Ail 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 Inst three years from the date the monitoring was
<br /> perforated.
<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 permits are required from the EHD prim 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 daysof 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,Some or Local agency. -
<br /> 14) A"Conditional'Permit may be 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 /> TRIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility: CIRCLE K STORE#1205' Facility ID FA0000185
<br /> 16470 CAMBRIDGE ST AccountlD AR0000184
<br /> LATHROP CA 95330 Issued 4/3/2006
<br /> Billing Address: ATTN : B ANDERSON, LICENSES.
<br /> /PERMITS
<br /> CIRCLE K STORE #1205*
<br /> 495 E RINCONST STE 150
<br /> CORONA CA 92879
<br /> 7023.rpt
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