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2200 - Hazardous Waste Program
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PR0514045
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BILLING
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Entry Properties
Last modified
12/6/2018 3:20:57 PM
Creation date
10/31/2018 12:52:08 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
BILLING
RECORD_ID
PR0514045
PE
2220
FACILITY_ID
FA0006439
FACILITY_NAME
COUNTRY CLUB MOBIL CIRCLE K
STREET_NUMBER
2575
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
CURRENT_STATUS
01
SITE_LOCATION
2575 COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
KBlackwell
Supplemental fields
FilePath
\MIGRATIONS\C\COUNTRY CLUB\2575\PR0514045\BILLING 2014 - 2018.PDF
QuestysFileName
BILLING 2014 - 2018
QuestysRecordDate
8/8/2018 5:25:47 PM
QuestysRecordID
3710321
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />304 E. Weber Ave., Third Floor • Stockton, CA 95202-2708 • Phone (209) 468-3420 <br />Donna Heran, RE.H.S., Director <br />ENVIRONMENTAL HEALTH <br />SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br />PERMIT TO OPERATE <br />Permit <br />Program Permit Program Valid <br />Record ID Number Pram Code and Description <br />PRO51404 PT0010240 2220 - SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY <br />1/1/2002 To 12/31/2002 <br />Hazardous Waste Generator Program: <br />California Health and Safety Code Div. 20, Chap: 6.5, Art. 2-13 Sec. 25100 et eq, and Title 22 California Code of Regulations, Chap. 20. <br />- ------------------------------- - - <br />__________ _______ ------1/1/2002 To 12/3112002 <br />PR023107 2300 - UNDERGROUND STORAGE TANK FACILITY <br />Underground Storage Tank Program: <br />Califomia Health and Safety -Code -Div. -20,-.C-hap.-6.7 _ and Title 23 California Code of Regulations-----Chap:16.___ <br />Prrtnit Status Svstem Type <br />2360 7 390002310700505600 PT0008167 15,000 REGULAR UNLEADED Active, Dnlanle • ^���� - --"- <br />Monitoring <br />2360 8 390002310700505601 PT0008166 15,000 REGULAR UNLEADED Active, billable DOUBLE WALLED Continuous Monitorinngg Intial <br />t <br />Active, billable DOUBLE WALLED Continuous Interstitial <br />2362 5 390002310700107005 PT0004847 550 Monitoring <br />gbE109FU102406 F°? <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 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 <br />conditions established by San Joaquin County. <br />Permit to Operate is issued to a person other than the owner or operator of the tank, the Permittee shall ensure that <br />3) If the Tank Operator(s) is different from the Tank Owner, or if the <br />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 Department (EHD) and are considererd UST Permit Conditions. The <br />approved monitoring, response, and plot plans shall be maintained onsite with the permit. <br />5) The Permittee 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, <br />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 Response <br />Plan. <br />n -site by the operator and be available for inspection for a period of at least three years from the date the monitoring <br />8) Written records of all monitoring performed shall be maintained o <br />was 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 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 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 LLC <br />Tank Owner: SHELL OIL COMPANY <br />THIS FORA MUST BE DISPLAYED CON SPICUOUSLY ON THE PREMISES <br />Facility ID FA0006439 <br />Regulated Facility: COUNTRY CLUB SHELL' Account ID AR0008426 <br />2575 COUNTRY CLUB BLVD Issued 3129/2002 <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 />
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