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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 600 E. Main St. • Stockton,CA 95202-3029 9 Phone (209)468-3420 Donna Heran, R.E.H.S., Director ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Program Permit Permit Record to Number Program Code and Description Valid PR0518499 PT0012058 _2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/112012 To 12/31/2012 Hazardous Waste Generator Proaram: 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, Sec.25100 et seq, and Title 22,California Code of Regulations,Chap,20: __ ._..___ ..... . ......... ..._.._ _..__ PR0231462 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2012 To 12/31/2012 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 Detection 2362 4 390002314620507948 PT0009419 10,000 PREMIUM UNLEADED Active,bilia be DOUBLE WALLED Continuous Interstitial Monitoring 2360 5 390002314620507949 PT0009420 10,000 REGULAR UNLEADED Active,billable DOUBLE WALLED continuous Interstitial Monitoring 11 1 loom 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 the UST systems)fails to remain in compliance with these Permit Conditions. 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 established by San Joaquin County. 3) If the Tank Operatons)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 the Tank Owner and tank Operator receive a copy of the permit. 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Department(EHD)and arc considererd UST Permit Conditions. The approved monitoring,response,and plot plans shall be maintained onsite with the permit 5) The Permittee shall comply with the monitoring procedures referenced in this permit, 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 provide documentation of such servicing to this office. 7) In the event tarn spill,leak,or other unauthorized release,the Pernitee shall comply with the requirements of Title 23 CCR,Chap. 16,Art.5,and the approved Emergency Response Plan. 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 notified of any change in ownership or operation of the UST system within 30 days of such change. 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 mvocinion. 11) Construction,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment. 12) This Permit to Operate shal I not be considered permission to violate any laws,ordinances or statutes of any other Federal,State or Local agency. 13) A"Conditional"Permit may be revoked ifcorrections specified on the inspection report are not completed by the date(s) indicated. -------------------------------- _......_.........._.....__......_....._....__._._.._._....__......._.__........._.__..._.........._.........__.. PERMITS TO OPERATE 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 7 ELEVEN #17647 C/2237e Facility ID FA0000508 Regulated Facility: 1048 W YOSEMITE AVE Account ID AR0003580 MANTECA CA 95336 Issued 2/1012012 Billing Address: ATTN : LICENSE DEPT 274L 7 ELEVEN #17647 C/2237- PO BOX 219088 DALLAS TX 75221-9088 7023.rpt