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SAN JOA,,JIN COUNTY PUBLIC HEALTH � _WICES <br />304 E. WEBER AVE., THIRD FLOOR • STOCKTON, CA 95202 • PHONE (209) 468-3420 <br />KAREN FURST, M.D., M.P.H., HEALTH OFFICER <br />DONNA RERAN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br />ENVIRONMENTAL HEALTH <br />SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br />PERMIT TO OPERATE <br />Program Permit Permit <br />Record ID Number Program Code and Description Valid <br />PR0514045 PT0010240 2220 - SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/01 To 12/31/01 <br />Hazardous Waste Generator Program: <br />California Health and Safety Code Div. 20, Chap_ 6.5, Art. 2-13 Sec. 25100 et seq, and Title 22 Califomia Code of Regulations, Chap. 20_ <br />------------------ -- --------------------- --------------------------------- --- <br />PR0231070 2300 - UNDERGROUND STORAGE TANK FACILITY 1/1/01 To 12/31/01 <br />Underground Storage Tank Program: <br />Califomia Health and Safety Code Div_ 20, Chap_ 6.7 and Title -2 -3 -California Code of Regulations Chap._16_ _ _ _ <br />2360 7 390002310700505600 PT0008167 15,000 UNLEADED Active DOUBLE WALLED <br />2360 8 390002310700505601 PT0008166 15,000 UNLEADED Active DOUBLE WALLED <br />2362 5 390002310700107005 PT0004847 550 WASTE OIL Active <br />gOE iD�`F`4d�024520 �� a„ :', <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 <br />Conditions. <br />2) In order to maintain the operating permit, the permit holder shall complywith the H&S Code, Div. 20, Chap. 6.7 and 6.75; and CCR, Title 23, Chap. 16 and 18, as well as <br />any conditions established by San Joaquin County. <br />3) If the Tank Opemtor(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 <br />ensure that both the Tank Owner and tank Operator receive a copy of the permit. <br />4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Division (PHS/EHD) and are considererd UST Permit <br />Conditions. Copies of the Procedures and Emergency Response Plan must be attached to this permit or be available for review and/or inspection at the UST site. <br />5) The Permittee shall comply with the monitoring procedures referrenced 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 <br />manufacturer, and 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 <br />Response Plan. <br />8) Written records of all monitoring performed shall be maintained on-site by the operator and be available for inspection fora period of at least three years from the date the <br />monitoring was performed. <br />9) The PHS/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 ofthe UST system (including change in tank contents or usage), the Permit to Operate will be subject to review, <br />modification or revocation. <br />11) Construction, repair and/or removal permits are required from the PHS/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 ofthis 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 may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated. <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: EQUILON LLC ENTERPRISES <br />Tank Owner: SHELL OIL COMPANY <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: COUNTRY CLUB SHELL* <br />2575 COUNTRY CLUB BLVD <br />STOCKTON. CA 95204 <br />Billing Address: ATTN : COUNTRY CLUB SHELL <br />COUNTRY CLUB SHELL* <br />2575 COUNTRY CLUB BLVD <br />STOCKTON, CA 95204 <br />7023. rpt <br />Facility ID FA0006439 <br />Account ID AR0008426 <br />Issued 3/29/2001 <br />