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r SAN JOAOIN COUNTY PUBLIC HEALTH SJOVICES 304 E.WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 • PHONE(209)468-3420 KAREN FURST,M.D., M.P.H., HEALTH OFFICER DONNA HERAN, R.E.H.S.,DIRECTOR ENVIRONMENTAL HEALTH DIVISION ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE ermit Valid rogrernut Record am ID Number Program Code and Description PR050648 2300-UNDERGROUND STORAGE TANK FACILITY 111100 To 12131100 Underground Storage Tank Program: California Health and Safety Cade Div.20,Chap.6.7 and Title 23 California Code of Regulations Chap. - _ --- -- -- -- ------ Fib m YP eec ton an -- - -e _rapaiy en Ive UNLEADED Active DOUBLE WALLED VISUAL CHECK ZINDU 2360 3 390005064860506491 PT0008871 15,000 UNLEADED Active DOUBLE WALLED VISUAL CHECK 2360 1 390005064880506489 PT0008870 10,000 BOE ID#: 44-002251 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 system(s)fails to remain in compliance with these Permit Conditions. ermit,the permit holder shall comply with the H&S Code,Div.2Q Chap.6.7 and 6.75;and CCR,Title 23,Chap. 16 an 2) In order to maintain the operating p 18,as well as any conditions established by San Joaquin County. 3) If the Tank 0perator(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 the Tank Owner and tank Operator receive a copy of the permit. vironmen 4) UST Pe Monitoring ons. Copieand an s of the Procedures andFmse pergecy Responsianmustbeae Plan mosbvedbt beea tached to this 1peermit or beavailableolrreview and/or inspection th USTnittee site. 5) lie 5'ertshall comply with the monitoring procedures referrenced 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 of a 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. It 8) Written records of all monitoring performed shall be maintaineon-site by the operator and be available for inspection for a period of at least three years from the date the monitoring was performed. peration of the UST system within 30 days of such change. 9) The PHS/EHD shall be notified of any change in ownership or o 10) Upon any change in equipment,design oroperation of the UST system(including change in tank contents or usage),the Permit to Operate will be subjectto review,modification 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 Permit 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. PERMFFS TO OPERATE are NOT TRANSFERABLE j 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 Facility ID FA0007458 Regulated Facility: 7-ELEVEN' #32190A Account ID AR0011509 4943 S HWY 99 Issued 9/2912000 STOCKTON, CA 95215 Billing Address: ATTN : GASOLINE ACCOUNTING 7- ELEVEN INC PO BOX 711 DALLAS, TX 75221 7023.rpt 0 0