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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 ram Code and Description
<br /> Valid
<br /> Rq 1 1490 PT0012049 2220- MALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 111/2012 To 12/31/2012
<br /> CHazar o GeBereter-Frog aIT
<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,25100atseq,and Title 22,California Code of Regulations,Chap,20,_ _
<br /> — ------ --—---- -------- ----- ------
<br /> PR0231073 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2012 To 1213112012
<br /> Underground Storage Tank Program:
<br /> Califomia Health and Safety Code,Div.20,Chap.6.7 and Title 23,California Code of Regulations,Chap. 16.
<br /> ---- ------- -'----- --'----.. ...... -'--- ---- ----
<br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak IhAeclion
<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 Interstitial Mornming
<br /> Underground Storage Tank 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 die 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
<br /> established by San Joaquin Cowry.
<br /> 3) Ifthe Tank Opemtor(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 tank,the Permittee shall ensure that both
<br /> the Tank Owner and rank 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 Pamdt 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 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 unauthori d release,the Penance shall comply with the requirements of Title 23 CCR,Chap. 16,An.5,and the approved Emergency Response Plan.
<br /> 8). Written records of at l 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 FI E,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 9r 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 in 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 /> Regulated Facility: 7 ELEVEN,STORE#14117 D12237` Facility 11) FA0002064
<br /> 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,Mt
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