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SAN JOAQU*UNTY ENVIRONMENTAL HEAL76EPARTMENT <br /> 600 E. Main St. • Stockton,CA 95202=3029 • Phone(209)468-3420 <br /> Donna Heran,R.E.H.S.,Director <br /> ENVIRONMENTAL HEAL'TI <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Program i>ermit'` Perrmt <br /> Record ID Number Program Code and Description <br /> PR051870 . PT001 173 2220-SMALL SIi .7I 1(HAZARDOUS WASTE GENERATPR_TACILITY 1/1/2010 To 12/31/ 01Q <br /> Hazardo ft.Waste Gen&tor Program: <br /> In order ttianaintaln the 6eullIit,to operate,.Ha�afdous Waste Generators shall comply with California Health and Safety Code, Div.20,Chap.6.5,Art.2.13 <br /> Sec 25IOO,et se�,, �22Gah �attrce of Regulations,Chap.20-----------------------------------et-- ---- ----------------------------- -- -------- - - - <br /> _, <br /> PR0232257 2300� RGROUND STORAGE TANK FACILITY 1/1/2010 To 12/31/2010 <br /> Urideraround Storage -Poul al <br /> California Health and Safety Code_Div.,20_�hap-6 7 and Title 23,California Code of Regulations,Chap 16 <br /> P/E Tank# Tank Record ID Permit# Capacity Contents r'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 /> .GE.!► �..44 <br /> Underground Storage Tank Permit Conditions <br /> 1) The Permit to Operate will become void if Annual Permit Fees and Service l=ees 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,,46 veil 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 Permittee 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(EIID)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 /> a <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 /> s provide documentation of such servicing to this office. j <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,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(including change in tank contents or usage),than Permit to Opersto wili be,sub 0gVwy*%ti tmdi£cation or <br /> revocation. <br /> 11) 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 issuagce of t)xiS permit. <br /> 13) This Permit to Operit%ehat[ubt be considered permission to violate any IaWs;;ptdinances or statutes ofi&gyother Federal,State`orLocal''' <br /> 14) A"Conditional',,Pelt' rrdybe revoked if corrections specified on the inspection report are not completerf l y the date(s) indicated. <br /> PERMITS TO OPERA'PE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause.,-,,,:, <br /> PERMIT(s)Valid only for: QUIK STOP MARKETS INC <br /> Tank Owner: QUIK STOP MARKETS <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: QUIK STOP MARKET#148* Facility ID FA0000670 <br /> 205 W LOCKEFORD ST r u Account ID AR0000669 <br /> LODI CA 9,5240 <br /> - Issued 2/10/2010 <br /> Billing Address: ' �;; <br /> QUIK STOP MARKET #148* _ <br /> 4567 ENTERPRISE STS# <br /> FREMONT CA 94538-7605 <br /> r, <br /> 1 �`..: .�,,-'e', �,'�_.. ",t .1 '.� 'F ,3 ,{y ,�� - m•0. <br /> 1 p <br /> � 3 <br /> , <br /> r <br />