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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E Weber Ave.,'Third Floor•Swdnon,CA 95202-2708•Phone(209)468-3420 <br /> Donna Heran,REH.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Program Permit <br /> Record ID Nuumbelr Program Code and Description Valid <br /> Valid <br /> PROS18490 PT0012049 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2003 To 12/31/2003 <br /> Hazardous Waste Generator Program: <br /> California Health and Safety Code,Div_20,Chap.6. 5,Art.2-13,Sec_25100 et seq,and Title 22,California Code of Regatio <br /> ulns,Chap:20,........................ <br /> PR0231073 2300-UNDERGROUND STORAGE TANK FACILITY 1/112003 To 12/31/2003 <br /> Underaround Storage Tank Program: <br /> California Health and Safety Code,Div.20, Chap:6.7 and Title 23:Califomia Code of Regula8ons,Chap_16.- _ _ <br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection <br /> 2360 5 390002310730507935 PT0009408 10,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monnoriag <br /> 2362 4 390002310730507934 PT0009407 10,000 REGULAR UNLEADED ACSVe,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 arc 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 pemut.the owner and opcmtor shall comply with the H&S Code,Div.20,Chap.6.7 and 6.75;and CCR Title 23,Chap.16 and 1 g,as well as any conditions <br /> established by San Joaquin County. <br /> 3) If the Tank Operator(a)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 Health Department(EHD)and are considererd UST Permit Conditions. The approved <br /> monitoring,response,and plot plans Shall be maintained onaile with the permiL <br /> 5) The Permittee shall comply with the monitoring procedures referenced in this permit. <br /> 6) The Permittee shall perform testing and prevenfive maintenance on all leak detection monitoring equipment annually,or more frequently ifspecified by the equipment manufacturer,and <br /> provide documentation of such servicing to this office. <br /> ­.7)•"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) Wriden 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),the Permit to Operate will be subject to review,modification or <br /> l l) Mf liclibn,repair andror removal permits are required from the E1{D prior to any change,repair or removal of UST system equipment <br /> 12) The Pernittee shall Submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the anniversary date of the issuance of this permiL <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 maybe revoked if connections 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@237' Facility ID FA0002064 <br /> 2725 COUNTRY CLUB BLVD Account ID AR0004482 <br /> STOCKTON,CA 95204 slued 5114/2003 <br /> Billing Address: ATTN : GASOLINE ACCOUNTING <br /> 7- ELEVEN INC <br /> PO BOX 711 <br /> DALLAS, TX 75221-,0711 <br /> 7023.rp1 <br />