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<br /> SAN JOAQUIN COUNTY ENVIRONMFNTAL HEALTH DEPARTMENT
<br /> 600 E. Main St. • Stockton, CA 95202-3029 • Phone(209)468-3420
<br /> - Donna Heran, R.E.H.S.,Director 7
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<br /> N ' F ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Permit
<br /> PIogram Permit "' r , s � a� r "r�� f$ a', �
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<br /> Record ID Number Program Code and Description w, *' ° ,; ..y� w, Valid
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<br /> PRO518707 PT0012173 2220-SMALL QUANTITY HAZARDOUS WA GENERATOR FACILITY `'1/1/2011 To 12/31/2011
<br /> iHazardous Waste Generator Program:
<br /> In order to maintain the permit to operate, Hazardous Waste Generators shall comply with California Health and SafetyCodq,`Div.20,Chap.6.5,Art.2-13,
<br /> Sec.25100 et seq,and Title 22,California Code of Regulations,Chap.20
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<br /> 1/1/2011 2300-UNDERGROUND STORAGE TILITY y rF, 1/1/2011 To 12/31/2011
<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. n k A y
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<br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak.Detection
<br /> 2362 1 390002322570225701 PT0004459 10,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 2 390002322570225702 PT0004460 10,000 MIDGRADE UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 3 390002322570225703 PT0004461 8,000 PREMIUM 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.
<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,Cha 16 and 18,as well as an conditions '
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<br /> establighed 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 Permittee shall ensure that both
<br /> the Tank Owner and tank Operator receive a copy of the permit.
<br /> n 4) Written Monitoring Procedures and an Emergency Response Plan roust be approved by t11e_ RYiromnental Hea1Rh Department(EHD)grid aze cptisidererd 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 perntiI.
<br /> 6) .The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequent/ 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 Permitee shall comply with the requirements of Title 23 CCR,Chap 16 t> 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 t three years frorttthe.date the monitoring was
<br /> r�Cs performed.
<br /> ':Q),;. The EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such chanfe..
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<br /> Upon any change in equipment,design oroperation of the UST system(including change in tank contents or usa e,the Permit to Operate will be subject to review,modification or
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<br /> 11) Qnstnrcnon,repair and/or removal permits are required fiom the EHD prior to any change,repair or removal of UST system equipment.
<br /> P 12) Permittee shall submrn
<br /> it an annual report docrentiug compliance.with the LIST Permit Conditions within 30 days of the date of the issuance of.t(u;rpettrtit:
<br /> 13 This Petmtt`tA O rata. _ ps y y
<br /> pe §plat 6e cttr2stdbtt+4 rmission to violate an laws,ordinances or statutes of an other Federal,State or Local6nFY
<br /> 14 A',,' "$ermif tti8 be'> i17 "tions specified on theins inspection report are not completed b the
<br /> ! l: ¥ 4»p Pe P Po P Y r!>�ie(s 'indicated
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<br /> �. PERMITS TO OPERATE may be SUSPENk�ED or REVOICED for cath "� r
<br /> PValid Drily#Or QUIK STOP MARKETS SNC
<br /> Tank Owner: QUIK STOP MARKETS ' r
<br /> t x THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> QUIK STOP MARKET#148* ` ' ° , �' r- r Facility ID FA0000670
<br /> Regulated Facility: t a
<br /> 205 W LOCKEFORD ST is w; '4' r AccountlD AR0000669
<br /> F ,,.LODI CA 95240 .6 sir �� a'�` ,`: .r '� -, Wit` y Issued 2/4/2011 y
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<br /> Billing Address. «.
<br /> QUIK STOP MARKET #148*"
<br /> s�< a *« ' i'y-•r'vF``�" 4567 ENTERPRISE ST6.
<br /> 51.. `b
<br /> FREMONT CA 94538-7605 t c , r t � t {�
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