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SAN JOAQli!N COUNTY ENviRoNMENTAL HEALTii^DEPARTmENT <br /> 304 E.Weber Ave.,Third Floor•Stockton,CA 95202-2708• Phone(209)468-3420 <br /> Donna Heran,RE.FLS.,Director <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Program permitRecord ID Number Program Code and Description _� _-- permit <br /> t <br /> P13946 PT0010143 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 111/2003 To 12/31/2003 <br /> H rdw Waste Generator Program' ---- <br /> Califomia Health and Safety Code,Div.20,Chap.6S,Art.2.13,Sea 25100 et seq,_and Title 22,California Code of Regulabons,Chap.20, <br /> '— --------- -- -------------— - ----------- <br /> PR0231233 2300-UNDERGROUND STORAGE TANK FACILITY 111/2003 To 1213112003 <br /> Underground Storage Tank Program: <br /> Cal'domia 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 390002312330507994 PTOoo9522 10,000 - REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial raonuuing <br /> 2362 4 390002312330507993 PT0009439 10,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> Underground Storage Tank Permit Conditions <br /> I) 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. <br /> 2) In order to maintain the operating pemm,the owner and operator shall comply with the H&S Code,Div.20,Chap.6.7 and 6.75;and CCR Title 23,Clap.16 and 18,as well as any conditions <br /> established by San Joaquin County. <br /> 3) If the Tank Opemtor(s)is different fiom the Tank Owner,or ifthe Permit to Operate is issued to a person other than the owner or operator of the tank,the Permits«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 be approved by the Environmental Health Department(ERD)and are considererd UST Pero[Conditions. The approved <br /> monitoring,response,and plot plam shall be maintained onsite with the pemot <br /> 5) The Pemdmee shall comply with the monitoring pmcedums referenced in this permit. <br /> 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 <br /> provide documentation of such servicing to this office. <br /> 7) In the event of a spill,leak,or other unauthorized release,the Permitee shall comply with the requirements of Title 23 CCR Chap.16,An.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 /> 11) tW&F&q m,repair and/or removal permits 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 Permit 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 of any other Federal,State or Local agency. <br /> 14) A"Conditional"Permit maybe revoked if corrections specifiedon the inspection report are motcomplemd bythedate(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 F lity. -ELEVEN #17334 D/2237* Facility ID FA0002479 <br /> 4501 N PERSHING AVE Account ID AR0004631 <br /> STOCKTON, CA 95207 r t fy� co <br /> Issued 5/9/2003 <br /> Billing Address: C 'o' <br /> 7- ELEVEN #17334 D/2237* fill — lflf G <br /> PO BOX 711 <br /> DALLAS, TX 75221-0711 Ill IVA � 1y�H3V2l+ll)�1j11j3 <br />