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BILLING PRE 2019
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2300 - Underground Storage Tank Program
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PR0231760
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BILLING PRE 2019
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Entry Properties
Last modified
11/20/2023 11:45:15 AM
Creation date
8/23/2019 11:27:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0231760
PE
2351
FACILITY_ID
FA0003831
FACILITY_NAME
WATERLOO FOODMART
STREET_NUMBER
4315
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215-2305
APN
08710034
CURRENT_STATUS
01
SITE_LOCATION
4315 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
KBlackwell
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EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />304 E. Weber Ave., Third Floor • Stodrton, CA 95202-2708 • Phone (209) 468-3420 <br />Donna Heran, ILE.H.S., Director <br />ENVIRONMENTAL HEALTH <br />SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br />PERMIT TO OPERATE <br />Program Permit <br />Permit <br />Record ID Number Program Code and Description <br />Valid <br />PR023176 2300 - UNDERGROUND STORAGE TANK FACILITY <br />1/1/2002 To 12/31/2002 <br />Underground Storage Tank Program: <br />Cal-ifomia Health and Safety Code_Div. 20, Chap_ 6.7 and Title 23 California_ Code of Regulations Cha -p.--1-6 -------------------------------------------------------------- <br />------------ ------ - --------- - - - - - - - - - <br />P/E Tank # Tank Record ID Permit # Capacity Contents Permit Status <br />System Type Leak Detection <br />2360 7 390002317600505388 PT0007955 15,000 PREMIUM UNLEADED Active, billable <br />DOUBLE WALLED Continuous Interstitial <br />Monitoring <br />2362 6 390002317600505387 PT0007954 15,000 REGULAR UNLEADED Active, billable <br />DOUBLE WALLED Continuous Interstitial <br />Monitoring <br />F07F,tl NC074-w—V <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 />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 <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 pemtit. <br />5) The Pemuttee 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 Petmitee shall comply with the requirements of Title 23 CCR, Chap. 16, Art. 5, and the approved Emergency Response <br />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 <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 pemxits 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 CO <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PRENHSES <br />Regulated Facility: WATERLOO SHELL <br />4315 WATERLOO RD <br />STOCKTON. CA 95205 <br />Billing Address: ATTN : WATERLOO SHELL <br />WATERLOO SHELL <br />4315 WATERLOO RD <br />STOCKTON, CA 95205 <br />7023.rpt <br />Facility ID FA0003831 <br />Account ID AR0003419 <br />Issued 3/29/2002 <br />
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