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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. <br />--- ------------ -- - - ---------------- - ----------------------- - ----------------------- ------ <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._ <br />------------- -------------------- --..-------------- <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 <br />