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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.Weber Ave.,Third Floor•Smrkton,CA 95202-2708• Phone(209)468-3420 <br /> Donna Haran,REH..S..,Director <br /> SAN JFAJWonTYna �.TALIM <br /> &NALENCY <br /> PERMIT TO OPERATE <br /> Program Permit Permit <br /> Record ID Number Program Code and Description Valid <br /> PRO521716 P70014673 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/112005 To 1213112005 <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.2510_------ ----e------ lifomia Code of Regulations,Chap_20:------------------------------------------------------------------------------------------- <br /> P 231532 2300-UN GROUND STORAGE TANK FACILITY 1/1/2005 To 12/31/2005 <br /> Un round r2torapgiank Pro rem: <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 <br /> BOE iD#:"44-000051' <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 system(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,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) 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 Perminee 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 must 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 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 Permitce shall comply with the requirements of Title 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 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 /> I l) Construction,repair and/or removal permits 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 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 FacilityID FA0000185 <br /> 16470 CAMBRIDGE ST Account ID AR0000184 <br /> LATHROP, CA 95330 Issued 2/10/7.005 <br /> Billing Address: ATTN : LICENSING DEPT DC-36 <br /> CIRCLE K STORE #1205 <br /> PO BOX 52085 <br /> PHOENIX, AZ 85072-2085 <br /> 7023.rp1 `� `� <br />