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SAN JO QUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.W2ber Ave.,Third Floor• Stockton,CA 95202-2708• Phone(209) 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 /> PRO518489 PT0012048 2220-SMALL QUANTITY HAZARDOUS WAST GENERATOR FACILITY 1/1/2004 To 12131/2004 <br /> Hazardous Waste Generator Program: <br /> In order to maintain the permit to operate, azardous Waste Generators shall_cmply 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 Regulations,Chap.20_ __ ______________----.-.--________..-_-_-_--__-__-__-_--_-_--.-._-.-_-_-.------_--__-_ <br /> PR0231074 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2004 To 12/31/2004 <br /> Underground Storage Tank Program: <br /> California Health and Safety Code,Div_20 Chap.6.7 and Title 23,California G_Ce of Regulations,Chap_16. --------------------------------- <br /> ------ ----------- ------------- - - - - - - <br /> P E Tank# Tank Record ID Permit# Capacity cc--=:s Permit Status System Type Leak Deter lion <br /> 2360 5 390002310740507939 PT0009412 10,000 PREMIUIJ-NLEA:�=D Active,billable DOUBLE WALLED Continuous Inters-z--al Monitoring <br /> 2362 4 390002310740507938 PT0009411 10,000 REGULA= - __ =D Active,billable DOUBLE WALLED Continuous Intersacal Monitoring <br /> Underground Storage Tank Permi Conditions <br /> I) The Permit to Operate will become void if Ar nual Permit Fees and Service Fees are not p_:and e;fie UST system(s)fails to remain in compliance with these Permit Condi,­--ns. <br /> 21 In order to maintain the operating permit,the owner and operator shall comply with the H&S:-:&.Dr..20,Chap.6.7 and 6.75:and CCR,Title 23,Chap.16 and 18,as well as any ccnditions <br /> established by San Joaquin County. <br /> 3) If the Tank Operator(s)is different from the 1 ank Owner,or if the Permit to Operate is iss-e_':o a.erson other than the owner or operator of the tank,the Permittee shall enst__that both <br /> the Tank Owner and tank Operator receive a copy of the permit. <br /> 4) Written Monitoring Procedures and an Emergei cy Response Plan must be approved by the E-•-r_cmec_I Health Department tEHD)and are considererd UST Permit Conditions. The approved <br /> monitoring,response,and plot plans shall bemaintained 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 prevc ntive maintenance on all leak detection mo---inn_e%:.sipment annually,or more frequently if specified by the equipment manuf----carer,and <br /> provide documentation of such servicing to a is office. <br /> 7) In the event of a spill,leak,or other unauthor zed release,the Permitee shall comply wit}-e regire;nents of Title 23 CCR.Chap. 16,Art.5,and the approved Emergency R-� ,onse Plan. <br /> 8) Written records of all monitoring performed hall be maintained on-site by the operator-­-ie a_::able for inspection for a period of at least three years from the date the motoring was <br /> performed. <br /> 9) The EHD shall be notified ofany change in ow ership or operation of the UST system within'::a:.s: such change. <br /> 10) Upon any change in equipment,design or operation of the UST system(including chance--_nk contents or usage),the Permit to Operate will be subject to review,modific:izon or <br /> 11) 6Y&96lg1bn,repair and/or removal permits art required from the EHD prior to any change.-.:-az or r:rmoval of UST system equipment. <br /> 12) The Permittee shall submit an annual report do(urmenting compliance with the UST Permit C xcZens-Aidmin 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-r statutes of any other Federal.State or Local agency. <br /> 14) A"Conditional"Permit may be revoked if orections specified on the inspection repos i:e 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)Va id only for: 7- ELEVEN INC <br /> DBA: 7-ELEVEN <br /> Ta k Owner: 7-ELEVEN, INC <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility. 7 ELEVEN STORE#20632 812237 Facility ID FA0002541 <br /> 4627 DA VINC DR Account ID AR0003348 <br /> STOCKTON, C4. 95207 Issued 4/112004 <br /> Billing Address: ATTN : AT­N GASOLINE ACCOUNTING <br /> 7 ELEVEN ST RE #20632 B/2237 <br /> PO BOX 711 <br /> DALLAS, TX 95221-0711 <br /> 7023 rpt <br />