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<br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 304 E.Weber Ave.,Third Floor•Soodcton,CA 95202-2708• Phone(209)468-3420
<br /> Donna Heeraan,R E.H.S.,Director
<br /> SAN XffonnaC9jjT&HA
<br /> TA1ENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit Permit
<br /> Record m ern Code and Description Valid
<br /> �PPR=Oa518499 PT0012068 2220-S L QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2005 To 12/3112005
<br /> us Waste Ge
<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 sei and Title 22,California Code of Regulations,Chap,20- -----------------------------___-.---_------_---_-_____..-------_-----.--____------_.-----_ ___
<br /> PR0231462 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2005 To 12/3112005
<br /> Underground Storage Tank Program:
<br /> California Health andSafety Code ,Div_20,Chap,6.7 and Title 23,-California Code of Regulations,Chap_ 16__.-_---------------------_...
<br /> Pi Tank B Tank Record ID Permit 4 Capacity Contents Permit Status System Type Leak Detection
<br /> 2362 4 390002314620507948 PT0009419 10,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 5 390002314620507949 PT0009420 10,000 REGULAR UNLEADED Active,billable DOUBLE WALLED continuous Interstitial Monitoring
<br /> Undergroand 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 shat l 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 considered UST Permit Conditions. The approved
<br /> monitoring,response,and plot plans shall be maintained onsite with the pemut.
<br /> 5) The Permittee shall comply with the monitoring procedures referenced in this permit.
<br /> 6) The Pearl 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 unauthorimd release,the Permutes shall comply with the requirements of Title 23 CCR Chap, 16,Art 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 pemuls are required from the EHD 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 Pemut Conditions within 30 days of the date of the issuance of this permit.
<br /> 13) This Permit to Operate shad 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 report are not completed by the dates) 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: SOUTHLAND CORPORATION
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOI SLY ON THE PREMISES
<br /> Regulated Facility: 7 ELEVEN #17647 B/2237* Facility ID FA0000508
<br /> 1048 W YOSEMITE AVE Account ID AR0003580
<br /> MANTECA, CA 95336 Issued 2/10/2005
<br /> Billing Address: ATTN : GASOLINE ACCOUNTING
<br /> 7 ELEVEN #17647 B/2237*
<br /> PO BOX 711
<br /> DALLAS, TX 75221-0711
<br /> 7023.rpt
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