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f « SAN JOAQUIOCOUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.Weber Ave.,Third Floor•Stodmon,CA 95202.2708• Phone(209)468-3420 <br /> Donna Heron,REH.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 Program Code and Description Valid <br /> PR0518490 PT0012049 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2003 To 12/31/2003 <br /> Hazardous Waste Generator Proaram <br /> California Health and Safety Code,Div.20,Chap.6S,Art_2.13,Sec_2510D et seq,_and TIBe 22,Califomia Code of Regulations.Chap,20_ <br /> --alth n __ '--- ...Rl ..--'..-- _a ----..---- <br /> PR0231073 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2003 To 12131/2003 <br /> Underground Storane Tank Pronram, <br /> California Health and-Safety Code.Div.20,Chap.6.7 and Title 23,California Code of Regulations,Chap_16_ _ <br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection <br /> 2360 5 390002310730507935 PT0009408 10,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interslitlal Monitoring <br /> 2362 4 390002310730507934 PT0009407 10,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <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 syslem(s)fails to remain in compliance with these Permit Conditions. <br /> 2) In order to maintain the operating pemdk 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 Sao Joaquin County. <br /> 3) If the Tank Opemlor(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 an Emergency Response Plan most he 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 Pemdltee 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 ifspecified by the equipment manufacturer,and <br /> provide documentation ofsuch servicing to this office. <br /> 7) 1n the event of a spill,leak,or other unauthorized release,the Pennine shall comply with the requirements of Title 23 CCR,Chap.16,Art.5,and the approved Emergency Response Plan. <br /> S) Written records of all monitoring performed shall be maintained on-site by the operator and be available for inspection for a period oral least three years from the dale 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 ofthe UST system(including change in tank contents or usage),the Permit to Operate will be subject to review,modification or <br /> 11) U4Y1115NI.glbn,repair and/or removal pcmdts arc 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 Pernit 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 ofany other Federal,State or Local agency. <br /> 14) A"Conditional"Permit maybe revoked ifcorections specified on the inspection report are not completed by the date(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 Facility. 7 ELEVEN STORE#14117 D/2237* Facility ID FA0002064 <br /> 2725 COUNTRY CLUB BLVD Account ID AR0004482 <br /> STOCKTON,CA 95204 Issued 5/14/2003 <br /> Billing Address: ATTN GASOLINE ACCOUNTING <br /> 7- ELEVEN INC <br /> PO BOX 711 <br /> DALLAS, TX 75221-,0711 <br /> 7023.rp1 <br />