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r � SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E.Hazelton Ave. • Stockton,CA 95205-6232 • Phone(209) 468-3420 Donna Heran,R.E.H.S.,Director ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Program Permit Permit Record ID Number Program Code and Description Valid PROSIBI49 PT0011878 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2013 To 1 2/3112 01 3 Hazardous Waste Generator Program: 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, Sec.25100 at seq and Title 42,Calitornla of Regulations:Chap.20,________________----_-_-_.... ----------------------;----.----_.._----.--------.--_.____-_.--- - — ----------- - - - -C-ode- - - _PRO506488 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2013 To 1 2131/2 01 3 Undemround Storage Tank-Program California Health and Safety Code,Div.20,Chap.6.7 and Title 23,California Code of Regulations,Chap..t6- --------------------------------------------------------- ... . .. ...... ...—'--- ----------- -------------------------------------- - I PIE ank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak 15etectlon 2362 4 390005064880515693 PT0014751 15,000 REGULAR UNLEADED Active,billable DOUBLE-WALL Continuous Interstitial Monitoring 2360 5 390005064880515694 PT0014752 10,000 MIDGRADE UNLEADED Active,billable DOUBLE-WALL Continuous Interstitial Monaming 2360 6 390005064880515695 PT0014753 10,000 PREMIUM UNLEADED Active, billable DOUBLE-WALL Continuous Interstitial Monitoring BOE ID#I 44031896 Underground Storage Tank Permit Conditions 1) The Permit Ie Operate will become void if Annual Permit Fees and Service Fees are not paid and/or the UST systems fails to remain in compliance with these Permit Conditions. 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 established by San Joaquin County. 3) If the Tank Operalor(s)is different from the Tank Owner,or if the Permit to Operate is issued to a person other than the ownet or operator of the tank the Permittee shall ensure that both the Tank Owner and lank Operator receive a copy of the permit. 4) written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Department(EHD)and we considererd UST Permit Conditions. The approved monitoring,response,and plot plans shall be maintained onsite with the permit. 5) The Permittee shall comply with the monitoring procedures referenced in this permit. 6) The Perminee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently if specified by the equipment manufacturer,and provide documentation of such servicing to this office. 7) In the event of spill,leak,or other unauthorized release,the Permilee shall comply with the requirements of Title 23 CCR,Chap. 16,Art.5,and the approved Emergency Response Plan. 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 performed. 9) The EHD shall be notified of any change in ownership or operation of the OST system within 30 days of such change. 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 review,modification or - revocation. 11) Construction,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment - 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. 13) A"Conditional'Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated. ....................................................._-........-----_-.......----.............---. --------------------- --._................I--------- ----------....__--------_-. ----_--- PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause. PERMIT(s)Valid only for: 7- ELEVEN INC DBA: 7-ELEVEN Tank Owner: 7-ELEVEN INC THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES 7 ELEVEN' #32190A* Facility ID FA0007458 Regulated Facility: 4943 S.HWY 99 Account ID AR0011509 STOCKTON CA 95215 Issued 2119/2013 Billing Address: ATTN : GASOLINE ACCOUNTING 7 ELEVEN* #32190A* PO BOX 711 DALLAS TX 75221-0711 7023 In