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0 0 SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 304 E.Weber Ave.,Third Floor•Stockton,CA 95202-2708• Phone(209) 468-3420 Donna Heran,RE,H_S-, Dire=r ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Program Permit Permit Record ID Nran en Sm Code and Description Valid PRO513948 PT0010143 220 SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2004 To 12/31/2004 Hazardous Waste Generat r o r m: In order to maintain the pe it to operate,Hazardous Waste Generators shall comply with California Health and Safety Code,Div.20,Chap.6.5,Art.2-13, Sec.25100 et seq.-and TiOq 22,California Code of Regulations,Chap,20. PR0231233 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2004 To 1213112004 Underground Storage Tank Program: California Health and Safety Code,Div.20,Chap.6.7 and Title 23,California Code of Regulations,Chap_16. P/E Tank# Tank Record ID Permit= Capacity Contents Permit Status System Type Leak Detectors 2360 5 390002312330507994 PT0009522 10,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous tntersa0a hlonifmng 2362 4 390002312330507993 PT0009439 10,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitia hbnitonng Underground Storage Tank Permit Conditions 1) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid and/or de UST system(s)fails to remain in compliance with these Permit Conditions. 2) In order to maintain die-cpemting permit,the owner and operator shall comply with the H&S Code,Div.70,Cbap.6.7 and 6.75;and CCR,Title 23,Chap.16 and 18,as well as any coriEtions established by San Joa;ain County. 3) If the Tank Operators s,is different from the Tank Owner.or if the Permit to Operate is issued to a pm-son other than the owner or operator of the tank,the Permittee shall ensure chat bo:.h the Tank Owner and irk Operator receive a copy of the permit. 4) Written Monitonng Prccedures and an Emergency Response Plan must be approved by time Envim meoe]Health Department(ERD)and are considererd UST Permit Conditions. The a-pmve` monitoring,response.i-d plot plans shall be maintained onsite with the permit. 5) The Permittee shall termly with the monitoring procedures referenced in this permit 6) The Permittee shall p^rorm testing and preventive maintenance on all leak detection monitoring ectizipmentannually,or more frequently if specified by the equipment manufacr=,mai provide documenuno-of such servicing to this office. 7) In the event of a spill.:tak,or other unauthorized release,the Permitee shall comply with the requir=encs of Title 23 CCR Chap.16,An.5,and the approved Emergency Response Pin. 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 performed. 9) The EHD shall be noti:ed of any change in ownership or operation of the UST system within 30 days of such change. 10) Upon any change in ecce mens,design or operation of the UST system(including change in tank eornes ntor usage),the Permit to Operate will be subject to review,modification or 11) repair an:or removal permits are required from the EHD prior to any change,repair or rmomal of[IST system equipment 12) The Pemdttee shall suT-m an annual report documenting compliance with the UST Pemdt Conditions within 30 days of the date of the issuance of this permit. 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. 14) A"Conditional'Pemti: may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated. PERMITS TO OPERATE are NOT TRANSFERABLE and may be SUSPENDED or REVOKED for cause. PERMIT(s)Valid only for: 7-ELEVEN INC DBA: 7-ELEVEN Tank Owner: 7-ELEVEN INC THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES Regulated Facility. 7 ELEVEN#17334 D/2237* Facility iD FA0002479 4501 N PERSHING AVE Account ID AR0004631 STOCKTON, CA 95207 issued 4/1/2004 Billing Address: ATTN : GASOLINE ACCOUNTING 7 ELEVEN #17334 D/2237* FO BOX 711 DALLAS, TX 75221-0711 7023.rpt