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<br /> SAN JOAQUIN COUNTY ENVIRONMENTAL'HEALTH DEPARTMENT >
<br /> k >,. 600 E. Main St. a Stockton,CA 95202-3029 Phone(209)468-3420
<br /> Donna Heran,R.E.H.S.,Director
<br /> y ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> ' PERMIT TO OPERATE
<br /> Program Permit n Permit
<br /> Record ID Number Program Code and Description
<br /> Valid
<br /> PRO518423 PT0012012 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2009 To 12/31/2009
<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 etseq and Title 22,California Code of Regulations,Chap.20_
<br /> - - - -- --------— - ----- -
<br /> • -C
<br /> PRO507204 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2009 To 12/31/2009
<br /> Underground Storage Tank Proaram:
<br /> California Health and Safety Code,Div.20,Chap.6.7 and Title 23,California Code of Regulations,Chap 1
<br /> ; — — -------- - --- - - -------------------------------------
<br /> 77f_
<br /> --------- ---------- ----- ---P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2360 4 390005072040515684 PT0014678 10,000 MIDGRADE UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2362 5 390005072040515685 PT0014679 10,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 6 390005072040515686 PT0014680 15,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> t '
<br /> Underground Storage Tank Permit Conditions r aI k
<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. I_
<br /> 2) In order to maintain the operating permit,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 Operator(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 Y
<br /> the Tank Owner and tank Operator receive a copy of the permit.
<br /> •'r .4) Written Monitoring Procedures and an Emergency Response Plan must be 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 Pennittee shall comply with the monitoring procedures referenced in this permit. . " c
<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 S;
<br /> 4
<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,Art.5,and the approved Emergency Response Plan.
<br /> a 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 /> revocation.
<br /> 11) Construction,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 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. 7
<br /> 14) A"Conditional"Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated.
<br /> E �o
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<br /> PERMITS TO OPERATE are NOT TRANSFERABLE
<br /> and may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s)Valid only for: 7- ELEVEN INCw
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<br /> ,t DBA: 7-ELEVEN
<br /> Tank Owner: 7-ELEVEN INC " r "'
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES '
<br /> Regulated Facility: 7 ELEVEN STORE#32262*** 43L '_ Facility ID
<br /> : 3 y FA0007735
<br /> 2360 W GRANT LINE RD frt * i`' *� TM 4 `t r# t ' Account ID AR0013579 ,
<br /> TRACY CA 953A Issued 2/4/2009
<br /> Billing Address: ATTN GASOLINE ACCOUNT
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<br /> • 'mac W s t n * 3 ''e Y .fdri j R*dr;
<br /> ? 7 ELEVEN STORE #32262*** r �S y��' La r£ ut aria r9 �«rr
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