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a. .� SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 304 E.Weber Ave.,Third Floor•St odmorn,CA 95202-2708•Phone(209)468-3420 Douna Heran,REH.S.,Director ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Permit Program Permit Record ID Number Program Code and Description Valid PR023153 2300-UNDERGROUND STORAGE TANK FACILITY 1/112002 To 12/31/2002 Underground Storage Tank Proaram: California Health and Safety Code_Div_20,Chap,6, and Tile 23 California Code of Regulations Chap,t6. _ -_____---_______._-_______________._-__._._- P Tank# Tank Record ID Permit# 7 Capacity Contents Permit Status System Type Irak Detection 2362 4 390002315320506754 PT0009046 12,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Intersuaal M°nitonng 2360 5 390002315320506755 PT0009045 12,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring 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 shall comply with the H&S Code,Div.20,Chap.6.7 and 6.75;and CCR,Tide 23,Chap.16 and 18,as well as any conditions established by San Joaquin County. 3) If the Tank Open stor(s)is different from the Tank Owner,or ifthe 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 most be approved by the Environmental Health Department(EIJD)and are conadererd UST Pemdt Conditions. The approved monitoring,response,and plat plans shall be maintained onsite with the pemmit 5) The Permume shall comply with the monitoring procedures referenced in this pemdt 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 Pernitee 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 oral least three years from the date the monitoring was performed. 9) The EHD shall be notified of any change in ownership or operation ofthe 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 pemmits are required from the EHD prior to any change,repair or removal of UST system equipment 12) The Permittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the anniversary 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 ifcorections specified on the inspection report are not completed by the dam(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 DBA: CIRCLE K STORES Tank Owner: TOSCO MARKETING CO THIS FORM MAST BE DISPLAYED CONSPICUOUSLY ON 7HE PREMISES Regulated Facility: CIRCLE K STORE#1205 Facility ID FA0000185 16470 CAMBRIDGE DR Account ID AR0000184 LATHROP. CA 95330 Issued 3/29/2002 Billing Address: ATTN : CIRCLE K STORES INC CIRCLE K STORE#1205 PO BOX 52085 PHOENIX,AZ 85072-2085 7023.rpt `� •••�