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EHD Program Facility Records by Street Name
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2200 - Hazardous Waste Program
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PR0513948
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BILLING
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Entry Properties
Last modified
1/3/2025 3:44:04 PM
Creation date
11/1/2018 4:15:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
BILLING
RECORD_ID
PR0513948
PE
2220
FACILITY_ID
FA0002479
FACILITY_NAME
7-ELEVEN INC #17334
STREET_NUMBER
4501
Direction
N
STREET_NAME
PERSHING
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
11017004
CURRENT_STATUS
01
SITE_LOCATION
4501 N PERSHING AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\P\PERSHING\4501\PR0513948\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
7/21/2016 9:27:08 PM
QuestysRecordID
3150077
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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�� nNr I J [Illi <br /> SAN JOAQ6 COUNTY ENVIIRONMF.NIAL HEAI�"�IDEPARTMEN`i' <br /> 304 I-Weber Ave.,Third Floor•Stodolon,CA 95202-2708• Phone(209)468-3420 <br /> Donn-H=n,P-F-ILS..Directorr <br /> QvV�pO- jE1STHr <br /> HEALTH JOAUIN CNCERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Program rF--..-....___�__ - <br /> Reen Number Pregrun Code and Description Permit <br /> Valid <br /> P"513948 PT0010143 2220-SMALL QUANTITY Hi ZARDOUS WASTE GENERATOR FACILI 1/1/2003 To 12/31/2003 <br /> HMArdous Waste Generator Program• <br /> --— <br /> Califomia Health aCha <br /> nd Safely_Cnde,.Di-- --- -----P S,Art 2-13,Sec_25100 et se ,and TiiUe 22,Galifom!a Code of Regula0gns,Cha 20. <br /> .`.— - '---'-q <br /> PR0231233� 2300-UNDER OUND STORAGE TANK FACILITY <br /> rg <br /> Underound Storage Tank Program' /1/2003 To 12.131/2003 <br /> Calikmia Heal a d Safety Cade:Div_20_Chap_6.7 and TOe 23,Callfomia Code of Regulationst Cha <br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System e <br /> 2360 5 390002312330507994 - PT0009522 10,000 REGULAR UNLEADED Leak Detection <br /> 2362 4 390002312330507993 PT0009439 10,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Conunuous Imemuaal Mona.'r <br /> Active,billable DOUBLE WALLED Continuous Interstitial Monilonng <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 conitly 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 di f erenl 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&onitretnonmg P ce PI P'nnd n Emergency,Response�laan with must approved by the Environmental Health Departnent(EFID)and are mnsidererd UST Pemldt Conditions. The approved <br /> monitoring, <br /> pemdl <br /> 5) The Pemdttee 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 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 Permitee shall comply with the requirements of Title 23 CCR Chap.16,An.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 ofat least three years from the date <br /> pethe monitoring was <br /> rformed. <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) CS95MI%R repair and/or removal pemdts are required from the ERD 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 of this permit <br /> 13)' This Permit to Operate shall not be considered permission to violate any laws,ordinances or statutes of my other Federal,Stale or local agency. <br /> 14) A"Conditional"Permit maybe revoked if corrections specified on the inspection report are rotcompletedby thedale(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 F lits -ELEVEN#17334 D/2237* Facility ID <br /> AR0004 79 <br /> 31 <br /> 4501 N PERSHING AVE A=unt ID AR0004631 <br /> STOCKTON, CA 95207 �a pµ p ✓ �N lssned 5/9/2003 <br /> Billing Address: 7- ELEVEN #17334 D/2237* 6' -01Wr I inr so <br /> PO BOX 711 <br /> DALLAS, TX 75221-0711 1111VA 'ltyj►��y���!�rt�3 <br /> 7o23.rpi . <br />
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