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								    SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 
<br />600 E. Main St. • Stockton, CA 95202-3029 0 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 />Re r um eG—r ` ,P-Eo4�aT Code and Description Valid 
<br />101 PT0021022 _??2"—MALL MALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2011 To 12/31/2011 
<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. 25100 et seq,_ and Title 22, California Code of Re----------------- 
<br />ulations, Chap. 20. 
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<br />PR0506497 2300 - UNDERGROUND STORAGE TANK FACILITY 1/1/2011 To 12/31/2011 
<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._ 
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<br />P/E Tank # Tank Record ID Permit # Capacity Contents Permit Status System Type Leak Detection 
<br />2352 6 390005064970517790 PT0020072 15,000 REGULAR UNLEADED Active, billable DOUBLE WALLED Continuous Interstitial Monitoring 
<br />2350 7 390005064970517791 PT0020073 10,000 PREMIUM UNLEADED Active, billable DOUBLE WALLED Continuous Interstitial Monitoring 
<br />BQ #,;-44Q31896 
<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 systems) 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 Permit 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 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 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 />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) The Permittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the date of the issuance of this 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 maybe 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: 
<br />7 -ELEVEN #14113A 2237* Facility ID FA0007461 
<br />3040 BENJAMIN HOLT DR Account ID AR0011530 
<br />STOCKTON CA 95207 Issued 2/4,/2011 
<br />Billing Address: 
<br />7–ELEVEN #14113A 2237* 
<br />PO BOX 711 
<br />DALLAS TX 75221-0711 
<br />7028.rpt 
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