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<br /> SAN JOAQUIN COUNTY ENVIl20NMENTAL HEALTH DEPARTMENT
<br /> t` 1868 E.Hazelton Ave. • Stockton, CA 95205-6232 s Phone (209)468-3420 ' r
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<br /> g Donna Heran,R.E.H.S.,Director
<br /> ENVIRONIVIENTAL HEALTH '� bt
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE �
<br /> Program Permit Permit a
<br /> t Record ID Number Program Code and Description n", . q-., Valid
<br /> PRO518489 -PT-0012048 —2-220 wSMALLQUANTFTY HAZARDOUS WArSTEGENERATOR-FACILITY -^---- 1/112013 To-12131/2013
<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.2-13,
<br /> Sec.25100 et seq,and Title 2_,_ _ ; rnia Code of Regulations,Chap.20 _________ ___________
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<br /> PR0231074 2300-qNDERGROUND STORAGE TANK FACILITY 1/1/2013 To 12/31/2013
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<br /> Underground Storacie Ta k Pro ram
<br /> California Health and Saf 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 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 Permit Conditions
<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 Pen-nit Conditions.
<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 Pennittee shall ensure that both
<br /> the Tank Owner and tank Operator receive a copy of the permit.
<br /> 4) Written Monitoring Procedures and an Emergency 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 maintained onsite with the permit.
<br /> 5) The Permittee shall comply with the monitoring procedures referenced in this permit.
<br /> kf 3; 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 /> 1,cprovide 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 for a period of at least three years from the date the monitoring was
<br />,r performed.
<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,designs or operation of the UST system(including change in tank contents or usage),the Pen-nit to Operate will be subject to review,modification or
<br /> 1 revocation. '
<br /> `r} 11) Construction,repair and/or removal permits are required fiou the EHD prior to any change,repair or removal of UST system equipment. # a
<br /> 12) This Permit to Operate shall not be considered permission to violate any laws,ordinances or statutes of any other Federal,State or Local agency. ' x .
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<br /> 13) A"Conditional"Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated.
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<br /> PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s) Valid only for: 7- ELEVEN INC
<br /> DBA: 7-ELEVEN t a
<br /> Tank Owner: 7-ELEVEN INC
<br /> THIS FORNI 11'IUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility: 7 ELEVEN STORE #20632 13/2237 * Facility ID FA0002541
<br /> 4627 DA VINCI DR qk Account ID AR000334$
<br /> { STOCKTON CA 95207 F Issued 2!19/2013
<br /> Billing Address: ATTN GASOLINE ACCOUNTING , y i
<br /> 7 ELEVEN STORE #20632 B/2237
<br /> PO BOX 711
<br /> DALLAS TX 75221-0711 r it
<br /> 7023 rpt
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