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<br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 304 E.Weber Ave.,Third Floor•Sbodlxon,CA 95202-2708•Phone(209)468-3420
<br /> Donna Heran,R.EH.S.,Director
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit Permit
<br /> Record to um engram Cade and Description Valid
<br /> PR05164 PT0012049 2220- MALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2005 To 12/3112005
<br /> Hazard s Waste Generator P
<br /> In orderpermit to operate,Hazardous Waste Generators shall comply with California Health and Safety Code,Div.20,Chap.6.5,Art.2-13,
<br /> Sec.25100 et seq,and Title 22,California Code of Regulations,Chap.20,____ _ _ _ ___ ___ _____ __ _ _ _
<br /> ---. .......--- '
<br /> PR0231073 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2005 To 1213112005
<br /> Underground Storage Tank Program:
<br /> California Health and Safety Code,Div_20,Chap.6.7 and Title 23,Califomia Code of Regulations,-C-hap.-1-6_ _
<br /> - -
<br /> PTank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2362 4 390002310730507934 PT0009407 10,000 REGULAR UNLEADED Active,billable DOUBLE WALLED continuous Interstitial Monitoring
<br /> 2360 5 390002310730507935 PT0009408 10,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED continuous intemutho Monaodng
<br /> Underground Storage Tank Permit Conditiogs
<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 operstor shall comply with the H&S Code,Div.20,Chap.6.7 and 6.75;and CCR Tide 23,Chap.16 and 18,as well 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 lank,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(EHD)and arc 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 pemtit.
<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 Pertains,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 my 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 /> 1 I) 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 issuance of this permit,
<br /> 13) 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 /> 14) A"Conditional'Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated.
<br /> PERMITS TO OPERATE are NOT TRANSFERABLE
<br /> and 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 /> Regulated Facility: 7 ELEVEN STORE#14117 D/2237' Facility ID FA0002064
<br /> 2725 COUNTRY CLUB BLVD Account ID AR0004482
<br /> STOCKTON CA 95204 Issued 4/412005
<br /> Billing Address: ATTN : GASOLINE ACCOUNTING
<br /> 7— ELEVEN INC
<br /> PO BOX 711
<br /> DALLAS TX 75221-0711
<br /> 7023.rp1
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