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SAN JOAQUIN COUNTY ENMONN1ENTAL HEALTH DEPARTMENT
<br /> 1868 E.Hazelton Ave. • Stockton,CA 95205-6232 • Phone(209) 468-3420
<br /> Donna Heran,R.E.H.S.,Director
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit Permit
<br /> Record ID Number P ra ode and Description Valid
<br /> - --- - 2220= WALL-QUANTITY HAZARDOUS-WASTE-GaENERATOR-FACILITY-- 11112013- Fo'=1/2013-_—
<br /> Hazardous Waste Gener or Pro r
<br /> In order to maintain the pe - operate,Hazardous Waste Generators shall comply with California Health and Safety Code,Div,20,Chap.6.5,Art.2-13,
<br /> Sec.25100 at seq,and Title 22,California Code of Regulations,Chap.20- -----------------_-_---------_,--------__--. ...-.-------.--...------ __-------
<br /> - -------- -- ------- --------
<br /> PR0231233 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2013 To 1 2131/2 01 3
<br /> Underground Storage Tank Pmgram
<br /> California Health and Safety Code,Div.20,Chap.6.7 and Title 23,California Code of Regulations,Chap. 16_ . .
<br /> ------ -------- ---- -- '------- ------
<br /> -- ---- ---- .------
<br /> P/E Tank 4 Tank Record ID Permit d Capacity Contents Permit Status System Type Leak Detection
<br /> 2362 4 390002312330507993 PT0009439 10,000 REGULAR UNLEADED Active, billable DOUBLE-WALL Continuous Interstitial Monitoring
<br /> 2360 5 390002312330507994 PT0009522 10,000 PREMIUM UNLEADED Active,billable DOUBLE-WALL Continuous Interstitial Monitoring
<br /> BOE ID#: 44031896
<br /> Underground Storage Tank Permit Conditions
<br /> I) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid andlor the UST system(s)fails to remain incompliance 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 lank,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 Permit 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 frequently if specified 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 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 of at 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 /> revocation.
<br /> 11) Construction,repair and/or removal permits are required from the EHD prior many change,repair or removal of UST system equipment
<br /> 12) This Permit to Operate shall not be considered permission to violate any laws,ordinances or statutes of any other Federal,.Slate or Local agency.
<br /> 13) A"Conditional'Penn it may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated.
<br /> PERMITS TO OPERATE 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 /> 7-ELEVEN #17334 D12237* Facility ID FA0002479
<br /> Regulated Facility: ccounAt ID
<br /> 4501 N PERSHING AVE AR0004631
<br /> STOCKTON CA 95207 Issued 2/1912013
<br /> Billing Address: ATTN : GASOLINE ACCOUNTING
<br /> 7-ELEVEN #17334 D/2237*
<br /> PO BOX 711
<br /> DALLAS TX 75221-0711
<br /> 7023 rpt
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