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SAN JOAQULi COUNTY ENVIRONMENTAL 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 Pertm't Permit
<br />Record ID Number Program Co and Description Valid
<br />R0518406 PT0012004 2220 SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2012 To 12/31/2012
<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 et seq, and Title 22, California Code of Regulations, Chap: 20_
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<br />PR0231084 2300 - UNDERGROUND STORAGE TANK FACILITY 1/1/2012 To 12/31/2012
<br />Underground Storage Tank Program:
<br />California Health and Safety Code, Div. 20, Chap. 6.7 and Title 23, California Code of Regulations, Chap_ 16.
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<br />P/E Tank 4 Tank Record ID Pen -nit 4 Capacity Contents Permit Status System Type Leak Detection
<br />2362 5 390002310840108105 PT0004801 12,000 REGULAR UNLEADED Active, billable DOUBLE WALLED Continuous Interstitial Monitoring
<br />2360 6 390002310840108106 PT0004802 12,000 PREMIUM UNLEADED Active, billable DOUBLE WALLED Continuous Interstitial Monitoring
<br />2360 7 390002310840108107 PT0004803 12,000 DIESEL Active, billable DOUBLE WALLED Continuous Interstitial Monitoring
<br />9M t 1'-.. 044=2 7
<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 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
<br />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 approved
<br />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, 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, Art. 5, and the approved Emergency Response Plan.
<br />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) 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 />13) A "Conditional" Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated-
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<br />PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause.
<br />PERMIT(s) Valid only for: LUTZ, ROBERT & KATHY
<br />Tank Owner: LUTZ, ROBERT &: KATHY
<br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br />Regulated Facility: SHELL FOOD MART Facility ID FA0006447
<br />2320 N EL DORADO ST Account ID AR0008445
<br />STOCKTON CA 95204 issued 2/10/2012
<br />Billing Address: ATTN : LUTZ, ROBERT & KATHY
<br />SHELL FOOD MART
<br />2320 N EL DORADO ST
<br />STOCKTON CA 95204
<br />7023. rpt
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