SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 1868 E.Hazelton Ave. • Stockton, CA 95205-6232 • Phone(209) 468-3420
<br /> Donna Heran,M.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 Pr Cade and Description Valid
<br /> -PROS18490 PT00120-4 -22 - MA_Ll__-QUANTITY-HAZARDOUS WASTE-GENERATOR FACILITY 171f2013-To-iZl3T/20T3—
<br /> Hazardous Waste Gene or Pro r -
<br /> In order to maintain the p rm o operate, Hazardous Waste Generators shall comply with California Health and Safety Code,Div,20,Chap.6.5,Art.2-13,
<br /> Sec. 25100 at seq, and Title 22,California Code of Regulations,Chap.20,__ _ ___------_-----_---_-
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<br /> PR0231073 2300-UNDERGROUND STORAGE TANK FACILITY 1/112013 To 12/31/2013
<br /> Underground Storage Tank Program:
<br /> California Health and Safety Code,Div.20,Chap.6.7 and Title 23,California Code of Regulations,Chap. 16. __ _ _ _- __ __--------
<br /> P/E Tank 9 Tank Record ID Pernait# Capacity Contents Permit SOWS System Type Leak Detection
<br /> 2362 4 390002310730507934 PT0009407 10,000 REGULAR UNLEADED Active,billable DOUBLE-WALL Continuous Interstitial Monitoring
<br /> 2360 5 390002310730507935 PT0009408 10,000 PREMIUM UNLEADED Active,billable DOUBLE-WALL Continuous Interstitial Monitoring
<br /> BOE ID#: 44031896
<br /> Underground Storage Tank Permit Conditions
<br /> 1) The Permit to Operate will become void TAnnual Permit Fees and Service Fees are not paid and/or the UST systeni fails toremain 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 no 18,as well as any conditions
<br /> established by San Joaquin County.
<br /> 3) If the Tank Opemmr(s)is different from the Tank Owner,or if the Permit to Operate is issued to a person other than the owneror operator of the tank,the Permittee shall ensure thatboth
<br /> the Tank Owner and lank Operator receive a copy of the permit.
<br /> 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by rhe Environmental Health Department(EHD)and are considererd UST Permit Conditions. The approved
<br /> monimnug,response,and plot.plans shall be mnimained onsite with the permit.
<br /> 5) The Permuce shall comply with the monitoring procedures referenced in this permit.
<br /> 6) The Permillee shall perform lestingand preventive maintenance on all leak detection monitoring equipment annually,ormore frequently ifspeclfiedby 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 Plimitee shall comply with the requirements of Title 23 CCR,Chap. 16,An.5,and the approved Emergency Response Plan.
<br /> 8) Written records orali monitoring performed shall be maintained on-site by the operator and be available for inspection fora period of at least three years from the date the monitoring was
<br /> performed,
<br /> 9) The EHD shall be notified ofany 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 /> - 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) 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) 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 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 211912013
<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
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