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SAN JOAQ ULT COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 1868 E. Hazelton Ave. • Stockton, CA 95205-6232 • Phone(209) 463-3420
<br /> Donna Heran,R.E.H.S.,Director
<br /> ENVIRONMENTAL HEALTH
<br /> S N JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit Permit
<br /> Record ID Number Pr m Codk and Description Valid
<br /> PRO518489 PT001204 2220-$MALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY - 111/2013-To 12/31/2013
<br /> Hazardous Waste Genera or Progralin
<br /> In order to maintain the pe6Yt6loperate, 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,Californi Code of Regulations,Chap.20
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<br /> PRO 231074 2300-UNJERGROUND STORAGE TANK FACILITY 1/1/2013 To 12/31/2013
<br /> Underground Storage Tank Program:
<br /> California Health and Safety Code, Div. , 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 PT0009411 10,000 REGULAR UNLEADED Active,billable DOUBLE-WALL Continuous Interstitial Monitoring
<br /> 2360 5 390002310740507939 PT0009412 10,000 PREMIUM UNLEADED Active,billable DOUBLE-WALL Continuous Interstitial Monitoring
<br /> BOE ID#: 44031896
<br /> Underground Storage Tank Permi Conditions
<br /> 11 The Permit to Operate Nvill become void if Ai nual 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 pennit,the o mer 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 Operalor(s)is different from the ank 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 opy of the permit.
<br /> 4) Written Monitoring Procedures and an Emergei cy 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 in;intained onsite with the permit.
<br /> 5) The Pennillee shall comply with the monitoring procedures referenced in this permit.
<br /> 6) The Permittee shall perform testing and preve itive 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 IF is office.
<br /> 7) In the event of a spill,leak,or other unauthori zed 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 perfanned s iall 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 owi ership or operation of the UST system within 30 days of such change.
<br /> 10) Upon any change in equipment,design or ope ation 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 /> 1 1) Constriction,repair and/or removal permits are -equired from the EHD prior to any change,repair or removal of UST system equipment.
<br /> 12) This Permit to Operate shall not be considere permission to violate any laws,ordinances or statutes of any other Federal,State or Local agency.
<br /> 13) A"Conditional"Pen-nit may be revoked if c erections specified on the inspection report are not completed by the date(s) indicated.
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<br /> PER ITS TO OPERATE may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s) Vali only for: 7- ELEVEN INC
<br /> DBA: 7-ELEVEN
<br /> Tank Owner: 7-ELEVEN, INC
<br /> THIS FORM MAST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> 7 ELEVEN STO E#20632 1312237 * Facility ID FA0002541
<br /> Regulated Facility:
<br /> 4627 DA VINCI R Account ID AR0003348
<br /> STOCKTON CA 95207 Issued 2/19/2013
<br /> Billing Address: ATTN GAS LINE ACCOUNTING
<br /> 7 ELEVEN STO E #20632 B/2237
<br /> FO BOX 711
<br /> DALLAS TX 75221-0711
<br /> 7023 rpt
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