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SAN JCAQUIN c.%1UNTY ENVIRONMENTAL HEALTH r,—ARTMEN'I' <br /> 304 E.Weber Ave.,Third Floor a S;aicicton,CA 95202-2708 9 Phone(2ct9)468-3420 <br /> Donna Heran,RE.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 Program Code and Description Valid <br /> PRO513949 PT0010144 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 Reguiations,Chap.20. <br /> ----- ---------------------- --- <br /> PR0231435 2300- -iNDERGROUND STORAGE TANK FACILITY 1/1/2003 To 12/31/2003 <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# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection <br /> 2360 6 390002314350506323 PT0008766 10,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> 2360 5 390002314350506322 PT0008765 10,000 .REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> 2362 4 390002314350506321 PT0008764 10,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> �l'E'li3>`/:=44=002251' r.�n <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 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 <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 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 must be approved by the Environmental Health Department(EHD)and are considererd UST Pem»t Conditions. The approved <br /> monitoring,response,and plot plans shall be maintained onsite 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 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 Permitee 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 monitoringperformed 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,desi6m 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 /> 11) .T-V&q?&Lglbn,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 anniversary date of the issuance of chis 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 /> 1 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 /> T:HIS FORM MUST BE DISPLAYED CONSPICUOUSi,Y ON Tlii.PREMISES <br /> Regulated Facility: 7 ELEVEN #19976* Facility ID FA0000916 <br /> 1399 N MAIN ST Account.ID AR0000913 <br /> MANTECA, CA 95336 Issued 5/9/2003 <br /> Billing Address: ATTN ATTN GASOLINE ACCOUNTING <br /> 7 ELEVEN #19976* <br /> PO BOX 711 <br /> DALLAS, TX 75221-0711 <br /> 7023.rpt <br />