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t SAN JOf UIN COUNTY PUBLIC HEALTH &VICES 304 E.WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 • PHONE(209)468-3420 KAREN FURST,M.D.,M.P.H., HEALTH OFFICER DONNA RERAN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Pmgmm Permit Permit Record ID Number Pmgmm Code and Description Valid PR0506488 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/01 To 12131/01 Underground Storage Tank Proaram: California Health and Safe Code Div_20,Chap.6.7 and Tide 23 California Code of Regulations Chap. 16_________________________________ --- ----S P' P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection 2360 2 390005064880505490 PT0008872 14,000 UNLEADED Active DOUBLEWALLED VISUAL CHECK 2360 3 390005064880506491 PT0008871 15,000 UNLEADED Active DOUBLE WALLED VISUAL CHECK 2362 1 390005064880506489 PT0008870 10,000 UNLEADED Active DOUBLE WALLED VISUALCHECK Underground Storage Tank Permit Conditions 1) The Permit to Operate win 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. 2) In order b maintain the operating permit,the permit holder 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 myconditions established by San Joaquin Cpumty. 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 Avner or operator of the tank,the Permittee shall ensurethat both the Tank Owner and lank Operator receive a copy of the permit. 4) Written Monitoring Procedures and an Emergency Response Planmust be approved by the Environmental Health Division(PHS/EHD)andareconsidererd UST Permit .Conditions. Copia of the Procedures and Emergency Response Plan must be attached tothis permit or be available for review and/or inspection at the UST site. 5) The Permittee shall comply with the monitoring procedures referrenced in this permit. 6) The Permittee shall perform testing and preven uve 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 of a spill,leak,or other unauthorized release,the Permitee shag 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 operatorand be available for inspection fora period of at least three}ears from the date the monitoring was performed. 9) The PHS/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 ofthe UST system(including change in lank contents or usage),the Permit to Operate will be subject In review, modifimtion or revocation. 11) Construction,repair and/or removal permits are required from the PHS/EHD prior to any change,repair or removal of UST system equipment. 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. 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. 14) A"Conditional"Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated. PERMITS TO OPERATE are NOT TRANSFERABLE and may be SUSPENDED or REVOKED for cause. PERMIT(s)Valid only for: 7-ELEVEN INC Tank Owner: SOUTHLAND CORPORATION THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES Regulated Facility: 7-ELEVEN* #32190A Facility ID FA0007458 4943 S HWY 99 Account ID AR0011509 STOCKTON. CA 95215 Issued 3/29/2001 Billing Address: ATTN : GASOLINE ACCOUNTING 7- ELEVEN INC PO BOX 711 DALLAS, TX 75221 7023.rp1 - 0 0