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SAN JOAQUIN COUNTY ENVERONMENTAL HEALTH DEPARTMENT
<br /> 600 E. Main St. • Stockton,CA 95202-3029 • Phone (209)468-3420
<br /> Donna Heran,R.E.H.S., Director
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit
<br /> Record ID Number Program Code and Description Permit
<br /> Valid
<br /> Hazardous
<br /> to Generaj 2220-SM ALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2012 To 12/31/2012
<br /> Hazardous Waste Generator Program
<br /> 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,
<br /> Sec_25100 at seq,_and Title 22,California Code of Regulations,Chap_20,_
<br /> - - - - -------
<br /> PR0231233 2300-UNDERGROUND STORAGE TANK FACILITY .
<br /> SlO
<br /> , demround Storage Tank Program 1/1/2012 To 1213112012
<br /> California Health and Safety Code, Div.20,Chap.67 and Title 23,California Code of Regulations;Chap, __
<br /> Tank# Permit JI Capamty Contents Permit Status System Type Leak Detection
<br /> 2362 4 390002312330507993 V I UUU9439 10,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial mountoring
<br /> 2360 5 390002312330507994 PT0009522 10,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Momming
<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 system(s)fails to remain in compliance with these Permit Conditions.
<br /> 2) In order to maintain the operating perms,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 San Joaquin County.
<br /> 3) If the Tank Operators)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 be approved by the Environmental Health Depamnent(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 Permmee 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 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 he maintained on-site by the operator and he 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 my 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 /> revocation.
<br /> 11) Construction,repair and/orremoval permits are required from the EHD prior to any change,repair or removal of UST system equipment
<br /> 12) This Permit to Operate shall not be considered permission W violate any laws,ordinances or statutes of my other Federal,State or Local agency.
<br /> 13) A•Conditional"Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated.
<br /> PERMITS TO OPERATE 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 /> "[HIS FORM MUST RE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility 7-ELEVEN #17334 D/2237* Facility ID FA0002479
<br /> 4501 N PERSHING AVE Account ID AR0004631
<br /> STOCKTON CA 95207 Issued 2/10/2012
<br /> Billing Address: ATTN : GASOLINE ACCOUNTING
<br /> 7—ELEVEN #17334D/2237*
<br /> PO BOX 711
<br /> DALLAS TX 75221-0711
<br /> 7023 It
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