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SAN JOA UIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 304 E.WeEcr Ave.,Third Floor• Stodtxon,CA 95202-2708• Phone(209) 468-3420
<br /> Donna Heran, R.E.H.S.,Director
<br /> SAN XAL�MMW ALA&VAIENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit _ . _ Permit
<br /> umber Pro
<br /> Record ID -Ngram Cod a d Description Valid
<br /> PR0518 O PT0012048 2220-SMA QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2005 To 12/31/2005
<br /> H�ardous Waste Generator Program!
<br /> _In'order-to-maintain the Per tml to operate, azardous Waste Generators shall comply with California Health and Safety Code, Div.20,Chap.6.5,Art.2-13,
<br /> -
<br /> Se—
<br /> c.25100 et seq,and Title 22,California _ode of Regulations,Chap._20__ _________________________
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<br /> PR0231074 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2005 To 12/31/2005
<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 /> 2362 4 390002310740507938 IDT0009411 10,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 5 390002310740507939 PT0009412 10,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> Underground Storage Tank Permitonditions
<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 owr er 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 Ta 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 cc py of the permit.
<br /> 4) Written Monitoring Procedures and an Emergent 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 miuntained onsite with the permit.
<br /> 5) The Permittee shall comply with the monitoring p ocedures referenced in this permit.
<br /> 6) The Permittee shall perform testing and preven ive 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 unauthoriz d 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 sh 11 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 owne hip 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 nquired 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 may be revoked if cot rections specified on the inspection report are not completed by the date(s) indicated.
<br /> PERMITS TO OPERATE are NOT TRANSFERABLE
<br /> 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 /> HIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility: 7 ELEVEN STORE#20632 B/2237 Facility ID FA0002541
<br /> 4627 DA VINCI E R Account ID AR0003348
<br /> STOCKTON, CA 95207 Issued 2/10/2005
<br /> Billing Address: ATTN : ATTN GASOLINE ACCOUNTING
<br /> 7 ELEVEN STOR #20632 B/2237
<br /> PO BOX 711
<br /> DALLAS, TX 9 221-0711
<br /> 7023.rpt
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