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SAN JOAQULN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E. Hazelton Ave. • Stockton, CA 95205-6232 • Phone (209) 468-3420 Donna Heran, R.E.H.S., Director ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Program Permit Permit Rccord ID Number Pr o a ode and Description — Valid --PR0531101— —PT0021 --QUANTITY HAZARDOUS WASTE GENERATOR FACILITY---- -1/1/2013 To 12/3112013— In order to maintain the p4(ym-l'o operate, Hazardous Waste Generators shall comply with California Health and Safety Code, Div. 20, Chap. 6.5, Art. 2-13, Sec. 25100 et seq, and Title 22, California Code of Regulations, Chap. 20: ---------------- -------- - ----- ----- ------------------------------------------------------------------------------ PR0506497 2300 - UNDERGROUND STORAGE TANK FACILITY 1/1/2013 To 12/31/2013 Underground Storage Tank Program: California Health and Safety Code, Div. 20, Chap. 6.7 and Title 23, California Code of Regulations, Chap. 16. —----------------------------------------------- P/E Tank # Tank Record ID Permit # Capacity Contents Permit Status System Type Leal: Detection 2352 6 390005064970517790 PT0020072 15,000 REGULAR UNLEADED Active, billable DOUBLE-WALL ContinuouslnlerstitialMonitoring 2350 7 390005064970517791 PT0020073 10,000 PREMIUM UNLEADED Active, billable DOUBLE-WALL Continuous Interstitial Monitoring BOE ID#: 44031896 Underground Storage Tank Permit Conditions I ) The Permit to Operate will become void ifAnnual Permit Fees and Service Fees are not paid and/or the LIST system(s) fails to remain in compliance with these Permit Conditions. 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 established by San Joaquin County. 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 the Tank Owner and tank Operator receive a copy of the permit. 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Department (EHD) and are considererd UST Permit Conditions. The approved monitoring, response, and plot plans shall be maintained onsite with the permit. 5) The Pennittee shall comply with the monitoring procedures referenced in this permit. 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 provide documentation of such servicing to this office. 7) In the event of a spill, leak, or other unauthorized release, the Pennitee shall comply with the requirements of Title 23 CCR, Chap. 16, Art. 5, and the approved Emergency Response Plan. 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 performed. 9) The EHD shall be notified of -any change in ownership or operation of the UST system within 30 days of such change. 10) Upon any change in equipment, design or operation of the LIST- system (including change in tank contents or usage), the Permit to Operate will be subject to review, modification or revocation. I I ) Construction, repair and/or removal permits are required fi-onm the EHD prior to any change, repair or removal of UST system equipment. 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. 13) A "Conditional' Permit maybe revoked if corrections specified on the inspection report are not completed by the date(s) indicated. PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause. PERMIT(s) Valid only for: 7- ELEVEN INC DBA: 7 -ELEVEN Tank Owner: 7 ELEVEN INC THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES 7 -ELEVEN #14113A 2237" Facility ID FA0007461 Regulated Facility: ID 3040 BENJAMIN HOLT DR AccountAR0011530 STOCKTON CA 95207 Issued 2/19/2013 Billing Address: 7—ELEVEN #14113A 2237* PO BOX 711 DALLAS TX 75221-0711 7023 rpt