SAN JO QUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 60 E. Main St. 0 Stockton, CA 95202-3029 • Phone (209)468-3420
<br /> Donna Herall, R.E.H.S., Director
<br /> ENVIRONMENTAL HEALTH
<br /> SA JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit Permit
<br /> Record ID-- Number Program Code nd Description Valid
<br /> PR0518489 PT0012048 22 L 20-SMA QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2011 To 12/31/2011
<br /> Hazardous Waste Generator Program:
<br /> In order to maintain the permit to operate, azardous Waste Generators shall comply with California Health and Safety Code, Div.20,Chap.6.5,Art.2-13,
<br /> Sec.25100 et se , and Title 22,California ode of Regulations,Chap_20:
<br /> - --------- ---------- ---- ----- ------ ---- ---------------------
<br /> PR0231074 2300-UND RGROUND 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 /> -- ---------------------------------------P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2362 4 390002310740507938 T0009411 10,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 5 390002310740507939 T(3009412 10,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> LoIry JQ# 44031896,
<br /> Underground Storage Tank Permit Conditions
<br /> l) The Permit to Operate will become void if Ann al 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 o r and operator shall comply with die 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 T k 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 co y of the permit.
<br /> 4) Written Monitoring Procedures and an Emergenc Response Plan must be approved by the Environmental Health Departinent(EHD)and are considererd UST Permit Conditions. The approved
<br /> monitoring,response,and plot plans shall be ma' aired onsite with the permit.
<br /> 5) The Pemuttee shall comply with the monitoring p ocedures referenced in this pennit.
<br /> 6) The Permittee shall perform testing and prevent ve 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 dice.
<br /> 7) In the event of a spill,leak,or other unauthoriz release,the Permitee shall comply with the requirements of Title 23 CCR,Chap. 16,Art.5,and the approved Emergency Respunse Plan.
<br /> 8) Written records of all monitoring perfonned sh 1 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 owner hip or operation of the UST system within 30 days of such change.
<br /> 10) Upon any change in equipment,design or opera ion 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 /> l 1) Construction,repair and/or removal permits are re wired from the EHD prior to any change,repair or removal of UST system equipment.
<br /> 12) The Pemuttee shall submit an annual report docm sting 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 p rmission to violate any laws,ordinances or statutes of any other Federal,State or Local agency.
<br /> 14) A"Conditional'Permit may be revoked if cor ctions specified on the inspection report are not completed by the date(s) indicated.
<br /> PER ITS TO OPERATE may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s)Valid Only for: 7- ELEVEN INC
<br /> DBA: 7-ELEVEN
<br /> Tank wner: 7-ELEVEN, INC
<br /> HIS FORA?MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility: 7 ELEVEN STORE#20632 13/2237 * Facility ID FA0002541
<br /> 4627 DA VINCI DIS Account ID AR0003348
<br /> STOCKTON CA 5207 Issued 2/4/2011
<br /> Billing Address: ATTN GASOL NE ACCOUNTING
<br /> 7 ELEVEN STORE #20632 B/2237
<br /> PO BOX 711
<br /> DALLAS TX 75 21-0711
<br /> 7028.rpt
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