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• • <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.Weber Ave.,Third Floor• Stockton,CA 95202-2708 a Phone(209)468-3420 <br /> Donna Henan, REH.S., Director <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Program Permit <br /> Record ID Number Program Code and Description V.alihdd <br /> V <br /> PR0513948 PT0010143 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 11112004 To 72/3112004 <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 22,California Code of Regulations,Chap_20_ <br /> PR0231233 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2004 To 12/3112004 <br /> Underaround Storage Tank Program: <br /> Califomia 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 /> 2360 5 390002312330507994 PT0009522 10,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial monitoring <br /> 2362 4 390002312330507993 PT0009439 10,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitonng <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 Permit 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 Permittee 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 Pemrit 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 /> 6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more Sequently if specified by the equipment manufacturer,and <br /> provide documentation ofsuch servicing to this office. <br /> 7) In the event of a spill,leak,or other unauthorized release,the Pernitee shall comply with the requirements of Title 23 CCR,Chap.16,An.5.and the approved Emergency Response Plan. <br /> 8) Written records ofall monitoring performed shall be maintained on-site by the operator and be available forinspection for a period ofat least three years from the date the monitoring was <br /> 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,design or operation of the UST system(including change in tank contents or usage),the Permit to Operate will be subject to review,modification or - <br /> 11) CdAMIRlbn repair and/or removal pemdts are required from the EFD)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 date of the issuance of this permiL <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 are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: 7-ELEVEN INC <br /> DBA: 7-ELEVEN <br /> Tank Owner: 7-ELEVEN INC <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility 7 ELEVEN #17334 D/2237* Facility ID FAD002479 <br /> 4501 N PERSHING AVE Account ID AR0004631 <br /> STOCKTON, CA 95207 Issued 4/1/2004 <br /> Billing Address: ATTN : GASOLINE ACCOUNTING <br /> 7 ELEVEN #17334 D/2237* <br /> PO BOX 711 <br /> DALLAS, TX 75221-0711 <br /> 7023.rpt <br />