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SAN �'C0UN7n ENV1RO1 i _PIT.AL.14Et1LTAkE7ARTNf NT1 <br /> 304 E.Welber Ave.,711ird Floor e Stockton,CA 95202-2703®Poon(209)468-3420 <br /> - Donna Form,, <br /> REH.SS., Director <br /> QNONCIUNIFIED <br /> 7HEALTH <br /> SAN JUIN COUNTY27IEYPROGRAAGENCY <br /> PERMIT TO OPERATE <br /> Program Permit Permit <br /> Record ID Number Program Code and Description Valid <br /> PRO513948 PTODIO143 2220-SMALL QUANT17Y HAZARDOUS WASTE GENERATOR FACILITY 1/1.12003 To 12131/20033 <br /> Hazardous Waste Generator Prooram: <br /> California Health and Safety Codc, Div_20, Chap.6.5,Art.2-13,_Sec.25.00 et seq,and Title 22,California Code of Regulations,Chap.20. <br /> PR0231233 2330-UNDERGROUND STORAGE TANK FACILITY 1/1/2003 To 12/31/2003 <br /> Underground Storage Tank Program? <br /> California Health and Safety Code, Div.20,Chap. 6.7 and Title 23,.California Code o£Regulations:Chap, 16.__ <br /> P/E Tank it Tank Record ID Permit 4 Capacity Contents Permit Status System Type Leak Detection <br /> 2360 5 390002312330507994 PT0009522 10,000 REGULAR UNLEADED Active,billable DOUBLE WALLED continuous mtersmial Moneonn; <br /> 2362 4 390002312330507993 PT0009439 10,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <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 systems)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 Operators)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 copyofthe permit. , <br /> 4). Wrinen Monitoring Procedures and an Emergency Response Plan must be approved by rite Envirortmemad lfadth Depanment(EFID)and are considererd UST Permit Conditions. The approved <br /> monitoring,response,and plot plains 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 frequently ifspecitied 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 Permi tee shall comply with the requirements of Title 23 CCR,Chap.16,Art:5,and the approved Emergency Response Pian. <br /> g) Written records of ail 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. - <br /> 9) :The E D 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) MiQ ii&Mdi,repair an/or removal pert;ue;am required from the EFID prior to any change,repair or removal of UST system equipment <br /> 12) The Pc rritlee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the anniversary 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. <br /> 14) A"Conditional"Permit maybe revoked ii corrections specified on the inspection report are not completed by the dates) indicated. <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> 1 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 /> THISF'ORM MUST BE DISPLAYED COA'Si C[Oi-SLYOV ` IREyIISFS <br /> Lara <br /> Regulated Facility 7- ELEVEN#17334 D/2237* Faaity ID i=A0002479 <br /> 4501 N PERSHING AVE Acgouni ID AR0004631 <br /> STOCKTON, CA 95207 Issued 5/9/2003 <br /> Biting Address: <br /> 7- ELEVEN #17334 D/2237* - <br /> PO BOX 711 <br /> LALLAS, 7X 75221-0711: <br /> 7023.rpt <br />