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<br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 6CO E Main St. • Stockton,CA 95202-3029 • Phone(209)468-3420 �: 1
<br /> f Donna Heran,R.E.H.S.,Director k
<br /> ENVIRONMENTAL HEALTH a
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<br /> y `SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program 'i". Brmit _ Permit r
<br /> Record IB Number Program Code and Description Valid
<br /> PRO618567 : PT0012108 2220-SMALL QUANTITY HAZARDOUS WASTE GEN., TOR FACILITY 1/1/2012 To 12/31/2012
<br /> Hazardous Waste Generator Program
<br /> In order to maintain the permit to operate'Haiardous Waste Generators shall^corriply with California Health and Safety Code,Div.20,Chap.6.5,Art.2-13
<br /> Sec.25100 et seand Title 22,California Code of Regulations,Chap.20.
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<br /> PR0231261 2300 ..UNGERGROUND STORAGE TANK FACILITY 1:' 1/1/2012 To 12/31/2012
<br /> Underground StatageTarik Program: X
<br /> California Health and Safety Code,Div.20,Chap._6 7 and Title 23,California Code of Regulations Chap 16. xf
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<br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection ',.,
<br /> 2362 5 390002312610506329 PT0008772 12,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring =`
<br /> 2360 6 7390002312610506330 PT0008771 12,000 REGULAR UNLEADED Active, billable DOUBLE WALLED Continuous Interstitial Monitoring
<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 ` '"r '
<br /> t' 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 Comity. r4
<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 Permittee shall ensure that both
<br /> R the Tank Owner and tank Operator receive a copy of the permit.
<br /> tions.Written MonitoringProcedures and an Emergency Response Plan must be approved b the Environmental Health Department EHD and are considererd UST Permit CondiThe approved
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<br /> monitoring,response,and plot plans shall be maintained onsite with the permit. •
<br /> J. 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 /> x provide documentation of such servicing to this office. x
<br /> 7) In the event of a spill,teak,or other unauthorized release,the Permitee shall comply with the requirements of Title 23 CCR,Chap- 16,Art.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(ittcl t change in tank contents or usage),the Permit to Operate will be subject to review,modification or
<br /> revocation. '
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<br /> 11) Construction,repair and/or removal permits are required from the EHD prior ti*change,repair or removal of UST system equipment.
<br /> 12) 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 /> 13) A"Conditional"Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated. -r'
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<br /> PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause.
<br /> �¢ PERMIT(s)Valid only for: QUIK STOP MARKETS INC
<br /> Tank Owner: QUIK STOP MARKETS ,_
<br /> 1 THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> i
<br /> ' QUIK STOP MARKET#2120* ,t F Facility ID FA0002890 'k c
<br /> l Regulated Facility:
<br /> ,s 9321 N THORNTON RD '� � 1 nes fih ) Account ID AR0002451 '
<br /> y' �« STOCKTON CA 95209 a y v` ', Issued � i> `
<br /> ¢Y t r«;,�r w� ` x �' r=: r. 2!10/2012 3 a�e
<br /> 4 .-ti` a,).i3• =`'rT"'° �"• G '�•4k .
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<br /> BillingAddress: sy` �
<br /> t A � }_4�,y .w#,»�QUIK STOP MARKET #2120 ` tcxY cr'1t✓^r`s7.:�
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<br /> 4567 ENTERPRISE STgz.
<br /> FREMONT CA 94538-7605 # A
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