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SAN JOAt,JIN COUNTY PUBLIC HEALTH S,__ DICES <br /> 304 E.WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 • PHONE (209) 468-3420 <br /> KAREN FURST, M.D., M.P.H., HEALTH OFFICER <br /> DONNA HERRN,R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH COPY <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> errtut <br /> rograI embe Program Code and Descri tion Valid <br /> Record ID Number p <br /> PRO51394 PTOOIQ144 2220.SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 111100 To 12131100 <br /> Hazardous Waste Generator Prcaram: <br /> California Health and Safety Code Div.20,Chap.6.5,Art.2-13 Sec.25100 et seq,and Title 22 California Code of Regulations,Chap_20. <br /> _ ___ -- - -- - ---- - -- ----- - ----- -- -- -- - - - U1101) To 12131100 <br /> PR023143 2300-UNDERGROUND STORAGE TANK FACILITY <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 /> _ _ _ _nm_ __ __ _ P_ _ _ _ _ _ . <br /> - - an� ecor._ a amYon en enol a u ys em ype e e e r <br /> c we <br /> DOUBLE WALLED INVENTORY RECNANUAL <br /> 2360 5 390002314350506322 PT00087610,000 UNLEADED Active DOUBLE WALLED INVENTORY RECAIANUAL <br /> 2360 4 390002314350506321 PT0008764 10,000 UNLEADED Active <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 <br /> these Permit Conditions. <br /> 2) In order to maintain the operating permit,the permit holder shall comply with the H&S Code,Div.20,Chap.6.7 and 6.75;and CCR,Title 23,Chap. 16 and <br /> 19,as well as any conditions established by San Joaquin County. <br /> 3) If the Tank Opemtor(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 <br /> Permittee shall ensure that both 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 Division(PHS/EHD)and are considererd <br /> UST Pemnit Conditions. Copies of the Procedures and Emergency Response Plan most be attached to this permit or be available for review and/or inspection <br /> . 1�Q�SgTittu�e <br /> j yI tl�cPeTmsi 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 <br /> equipment manufacturer,and provide documentation of such servicing to this office. <br /> 7) to the event of a spill,leak,or other unauthorized release,the Pemritee shall comply with the requirements of Title 23 CCR,Chap. 16,Art.5,and the <br /> 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 <br /> from the date the monitoring was performed. <br /> 9) The PHS/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 subjectto <br /> review,modification or revocation. <br /> 11) Construction,repair and/or removal permits are required from the PHS/EHD prior to any change,repair or removal of UST system equipment.. <br /> 12) The Permittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the anniversary date of the issuance <br /> 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. <br /> 14) A"Conditional'Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated. <br /> PERMITS TO OPERATE we NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for. 7- ELEVEN INC <br /> Tank Owner: SOUTHLAND CORPORATION <br /> THIS FORM MUST BE DISPLAYED COSSPlCUOUSLY ON THE PREMISES <br /> Facility ID FA0000916 <br /> Regulated Facility: 7 ELEVEN#19976' Account ID AR0000913 <br /> 1399 N MAIN ST Issued 9128/2000 <br /> MANTECA, CA 95336 <br /> Billing Address: ATTN : GASOLINE ACCOUNTING <br /> 7- ELEVEN INC <br /> PO BOX 711 <br /> DALLAS, TX 75221 <br /> 7023.rpt <br />