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s _` SAN JOAQUu c OUNTY ENVIRONMENTAL HEALTH TyEPARTMENT a4` rtt "
<br /> k i e p 7-
<br /> 4 600E Main St. • Stockton,CA 95202-3029 •
<br /> Phone(209)468-3420 �x�l
<br /> •�-� ' ' � � `m' ' ° ` "��=`'' Donna Heran,R.E.H.S.,Director
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<br /> ENVIRONMENTAL HEALTH
<br /> c � M SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit
<br /> eX Record ID Number Pyogram Code and Description Permit
<br /> .� Valid
<br /> PRO518489 PT0012048 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2009 To 12131/2009
<br /> Hazardous Waste Generator Program:
<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
<br /> ' Sec.25100 et seq,_and Title 22,California Code of Regulations,Chap. 20. a .
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<br /> PR0231074 230 ='UNDERGROUND STORAGE TANK FACILITY 1/1/2009 To 12131/2009
<br /> k ' Underground Storage Tank Program
<br /> m' California Health and Safety Code, Div.20,Chap.6.7 and Title 23,California Code of Regulations,Chap;16
<br /> i 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 WALLED Continuous Interstitial Monitoring
<br /> ,` Q507939 PT0009412 10,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring Ca
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<br /> Undergro 'rage Tank Permit Conditions ' r,.t 1 °`� ' "_' ,.kag
<br /> r 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 `d
<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. x '
<br /> f 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Deparpnent(EFID)w.0 are considererd UST Permit Conditions. The approved
<br /> monitoring,response,and plot plans shall be maintained onsite with the permit.
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<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 fora period of at least three years from the date the monitoring was
<br /> performed. e r
<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 revmew,modmfication or +s
<br /> revocations
<br /> 11) Construction,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment. 4 yrr
<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.
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<br /> 14) A"Conditional"Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) mdtcated. �J
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<br /> PERMITS TO OPERATE are NOT TRANSFERABLE -
<br />` and may be SUSPENDED or REVOKED for cause.
<br /> r e PERMIT(s)Valid only for: 7- ELEVEN INCA i
<br /> it m t DBA: 7-ELEVEN
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<br /> Tank Owner: 7-ELEVEN, INC
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> i h Regulated Facility: 7 ELEVEN STORE#20632 B/2237k Jaz,{ F � ,* y f,`; `� ' . " Facility lD FA0002541
<br /> r 4627 DA VINCI DRk.f $ ' �' Account lD
<br /> AR0003348_
<br /> 1 r STOCKTON CA 95207 , s" Issued 2/4/2009 'a*
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<br /> I } r Billing Address: ATTN GASOLINE ACCOUNTING
<br /> 7 ELEVEN STORE #20632 B/2237 f
<br /> ;S PO BOX 711
<br /> r m / DALLAS TX 75221—Q711
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