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BILLING_PRE 2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2200 - Hazardous Waste Program
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PR0513889
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BILLING_PRE 2019
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Entry Properties
Last modified
1/3/2025 3:37:17 PM
Creation date
11/1/2018 4:14:05 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0513889
PE
2220
FACILITY_ID
FA0003994
FACILITY_NAME
PERSHING GAS FOR LESS
STREET_NUMBER
4445
Direction
N
STREET_NAME
PERSHING
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
11018006
CURRENT_STATUS
01
SITE_LOCATION
4445 N PERSHING AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\P\PERSHING\4445\PR0513889\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
7/21/2016 11:28:52 PM
QuestysRecordID
3150307
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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F M SAN•gUIN COUNTY PUBLIC HEAL•ORVICES <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 HERRN,R.E.H.S.,DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Pe nil <br /> Program Pertnrt Program Code and Description Valid <br /> Record m Number 1/1101 To 12/31101 <br /> PRO513889 PT0010084 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY <br /> Hazardous Waste Generator Program: <br /> California Healt_h_an_d Safety Code Div.20,Chap_6.5,Art_2-13 Sec. ----- -- and Title 22 California Code of Regulations,Chap.20_ __ _ _______ <br /> PR0231785 2300-UNDERGROUND STORAGE TANK FACILITY 1/1101 To 12131101 <br /> Underground Storage Tank Program: ' <br /> California Health and Safely Code Div_20,Chap_6.7 and Title 23 California Code of Regulations Chap_16__________________-__________-___. <br /> --- Tank# Tank Record ID Permit# Capacity Contents Permit Status <br /> 2360 9 390002317850178509 /700074NL <br /> 59 12,000 UEADED Active <br /> 2360 8 390002317850178508 PT0007458 12,000 UNLEADED Active <br /> 2360 7 390002317850178507 PT0007457 12,000 UNLEADED Active <br /> 2362 6 390002317850178506 PT0006786 550 WASTE OIL Active <br /> BOE'1D#t _44-000 <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 <br /> Conditions. <br /> 2) In order b maintain the opemtmg permit,the permit holder shall comply with the H&S Code,Div.20,Chap.6.7 and 6.75;and CCR,Title 23,Chap.16 and 18,as wen 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 ofthe tank,the Permittee shag <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/Em)and am 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 USI 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 bythe equipment <br /> manu facturer,and provide documentation of such servicing to this office. <br /> 7) In the event of a spill,leak,or other unauthorized release,the Permike shag comply with the requirements of Tile 23 CCR,Chap.16,Art.5,and the approvedEmergency <br /> Response Plan. <br /> g) Written records of all monitoring performed shag be maintained on-site by the opemtorand be available for inspection fora period oral 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 USC system(including change in tank contents or usage),the Permit to Operate will be subject b 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 ofthe anniversary date ofthe 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 dam(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 /> Facility ID FA0003994 <br /> Regulated Facility: PERSHING SHELL' Account ID AR0003621 <br /> 4445 N PERSHING AVE Issued 312912001 <br /> STOCKTON. CA 95207 <br /> Billing Address: ATTN : PERSHING SHELL <br /> PERSHING SHELL' <br /> 4445 N PERSHING AVE <br /> STOCKTON, CA 95207 <br /> 7023.rpt <br />
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