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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 304 E.Weber Ave.,Third Floor•Stockton,CA 95202-2708•Phone(209)468-3420
<br /> �+ �Donna Heran,REH.SSA.,Director
<br /> SAN JCIAUINVUIC'"I'S'� WTV U�'+"''�� ENCY
<br /> PERMIT TO OPERATE .
<br /> Permit
<br /> Program PernmValid
<br /> Record ID Number Program Code and Description -
<br /> PR0518609 PT0012135 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY
<br /> 11112005 To 1213112006
<br /> Hazardous Waste Generator Program:
<br /> In order to maintain the permit to operate,Hazardous Waste Generators shall comply with California Health and Safely Code,Div.20,Chap.6.5,Art,2-13,
<br /> _ - -�- - p - ------11112005 To 1213112005
<br /> Sec,25100 et sec,and Title 22,California Code of Re ulations,Cha :-- ,------__-_____.____.__---------------
<br /> PRO .27 2300-UNDE OUND STORAGE TANK FACILITY
<br /> J, round St Tank Pro ram:
<br /> —'
<br /> CBlito_r_nia Health and Safety Code, iv.20,Chap..6.7 and Title 23,California Code of Regulations, ..-ap,_._---.._-___.- - -'
<br /> _ ._ _. .. _ _ P ry
<br /> Permit Status System Type Leak Detection
<br /> 1/L Lank N tank R cord ID Permit N Ca act Contents DOUBLE WALLED C t I t t l i M t ng
<br /> 2362 5 390002312270505679 PT0008224 12,000 REGULARUNLEADED Active billable
<br /> MIDGRADE UNLEADED Active,billable DOUBLE WALLED Continuous interstitial monitoring
<br /> 2360 6 390002312270505680 PT0008225 12,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 7 390002312270505681 PT0008256 12,000
<br /> Underground Storage Tank Permit Conditions
<br /> I1 The Pertnil to Operate will become void tf Annual Permit Fees and Service Fees are not paid and'or the UST systems)fails to remain in compliance with[hese Perini[Conditions.
<br /> 2) In order to maintain the operating permit,theowner and operator shall comply with the H&S Code,Div.20,Chap.6.7 end 6.75;and CCR,Title 23,Chap.16 and 18,as well as any conditions
<br /> established by San Joaquin County.
<br /> ;) If the Tank Operators)is different from lite Tank Owner,or if[he Permit to Operate is issued to a person other than the owner or operator of the lank,the Permittee shall ensure that bot
<br /> the Tenk Owner mtd lank Operator receive a copy of the permit.
<br /> sJ Written Monitoring Procedtves and an Emergency Response Plan must be approved by the Environmental Health Deparunent(E}{p)and are crnsidererd UST Perini[Conditions. The approved
<br /> monitorine,response,and plot plans shall be maimained onsite with lite pcnnit. -
<br /> 5) The pe rlittee shnll comply with the moaitaring 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 spill,leak,or other unauthorized release,the Pernilee shall comply with the requirements of Title 23 CCR,Chap.16,Am 5,and the approved Emergency Response Plan.
<br /> S) 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 inview,modification or
<br /> revocation.
<br /> 11) Censtructi"u,repair and/or t emovil permits arc 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 /> 141 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 /> -masro�ccexr sea+A•. -
<br /> PERUs)Valid only for. TOSCO NORTHWEST CO
<br /> DBA: CIRCLE 76#2705449
<br /> Tank Owner: CIRCLE K STORES INC -�-
<br /> ---- THIS FORM DIUST BE DISPLAYED CO\SPICUOUSLY ON THE PREbIISES
<br /> Facility ID FA0004033
<br /> Regulated Facility'. CIRCLE K STORES INC#2705449 Account ID AR0003673
<br /> 76647 PACIFIC AVE Issued 2/10/2005
<br /> STOCKTON, CA 95207
<br /> Billing Address:
<br /> CIRCLE K STORES INC #2705449
<br /> PO SOX 52085
<br /> PHOENIX, AZ 85072
<br /> 7023.rpt
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