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<br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 600 E. Main St. • Stockton, CA 95202-3029 • 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.
<br /> Permit
<br /> Record ID Number Program Cade and Description Valid
<br /> Valid
<br /> .PRO513948 PT0010143 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2011 To 12/31/2011
<br /> .Hazardous Waste'GeneratorPrccfr6nT
<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 1/1/2011 To 12/31/2011
<br /> Underground Storage Tank Program*
<br /> California Health and Safety Code, Div.20,_Chap.6.7 and Title 23,California Code of Regulations,Chap16.
<br /> -- ------ ------ - ------- ---- ----- ----------- -------- ------------------------ - -_- - ------------------------------------------
<br /> I
<br /> P/E Tank# Tank.Record ID .Permit# Capacity Contents Permit Status. System Type Leak Detection
<br /> 2362 4 390002312330507993 PT0009439 10,000 REGULAR UNLEADEDActive,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 23'60 5 390002312330507994 PT0009522 10,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> HiFaln#Id` hQ�17ia
<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 rat Emergency Response Plan must be approved by the Environmental Health Department(EHD)and we considererd UST Permit Conditions. The approved
<br /> monitoring,response,and plot plans shall be maintained onsite with die permit.
<br /> 5) The Perna ee 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 spill,leak,or other unauthorized:release,the Pernince 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 /> I I) Construction,repair and/or removal permits are required from the EHD prior to any charge,repair or removal of UST system equipment.
<br /> 12) The Permittee shall submit nor annual report documenting compliance with the UST Peron?Conditions within 30 days of Bre date of the issuance of this penin.
<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 repos 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 /> Regulated Facility 7-ELEVEN#17334 D/2237* Facility ID FA0002479
<br /> 4501 N PERSHING AVE Account ID AR0004631
<br /> STOCKTON CA 95207 Issued 2/4/2011
<br /> Billing Address: ATTN. : GASOLINE ACCOUNTING
<br /> 7-ELEVEN #17334 D/2237*
<br /> PO BOX. 711
<br /> DALLAS TX 75221-0711
<br /> 7028.rpt
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