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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E. Main St. • Stockton, CA 95202-3029 • Phone(209)468-3420 <br /> Donna Heran,R.E.H.S.,Director , <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Program Permit - Permit <br /> Record ID Number Program Code and Description Valid <br /> PRO518490 PT0012049 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY - 11112012 To 1213112D12. <br /> Hazardous Waste Generator Program: <br /> In order to maintain the permit to operate, Hazardous Waste Generators shall comply with California Health and Safety Code,Div.20,Chap.6.5,Art.2.13, <br /> Sec.25100 5_eq_ _a_n_dTtla22 -- IifomiaCodeofRegulations,Chap.20,__----___,_--_----___---.-_-__--__...._-_.-------_-_------------ ...-._---------------- <br /> 0231073 2300-UNYERGROUND STORAGE TANK FACILITY 11112012 To 12/31/2012 <br /> 'tlndrnraua?Sfor^ge T^nk Pro am <br /> California Heal_t_h-and Safety Code,Div_20,Chap.6,7 and Title 23,-California Code-of Regulations,Chap,_16. ________ --.__--_-, <br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status. System Type Leak Lection <br /> 2362 4 390002310730507934 PT0009407 10,000 REGULAR UNLEADED Active,billable DOUBLE WALLED. ConUnuous Interstitial Monitoring <br /> 2360 5 390002310730507935 PT0009408 10,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Cwtinuous interstitial Monitoring <br /> 44031896 <br /> . Underground Storage Taok 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,Chap.16 and 18,as well az any conditions <br /> established by San Joaquin County, <br /> 3) If the Tank Operators)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 most be approved by the Environmental Ifealth Department(ERD)and are considenad UST Permit Conditions. The approved <br /> monitoring,response,and plot plans shall be maintained onsite with the permit. _ <br /> '5) The Pemuttee 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 /> 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,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 my 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 <br /> revocation. <br /> 11) Coustmcrom,repair and/or removal permits are required from the EHD prior to any 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) --"Conditional"Permit may -- revoked if corrections spec- --on tt------ --tion report are not completed --the dates- indicate--d. <br /> PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: 7-ELEVEN INC <br /> DBA: 7-ELEVEN <br /> Tank Owner: 7-ELEVEN INC <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> 7 ELEVEN STORE#14117 D/2237* Facility ID FA0002064 <br /> Regulated Facility: 2725 COUNTRY CLUB BLVD Account ID AR0004482 <br /> STOCKTON CA 95204 Issued 2/1012012 <br /> Billing,Address: ATTN : GASOLINE ACCOUNTING <br /> 7 ELEVEN STORE #14117 D/2237* <br /> PO BOX 711 <br /> DALLAS TX 75211-0711 <br /> 7023.rpt <br />