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AG/27/2005 11:29 209931157e'' WATERLOO SHELL PAGE 02
<br /> SAN JOAQUIN COUNTY FNVIRONMENTAL HFALTH DEPARTMENT
<br /> 304 F. Weber Ave.,Third Floor•Stodcton,CA 95202-2708•Phone(209)468-3420
<br /> Dmrna Hcran,RE.H.S.,Dircctor
<br /> ,SAN,IOAQVIN C:OUNT,Y.CI ILTIFIED UNIFIED_PROGRAM AGENCY
<br /> PERMIT TO OPERA'T'E
<br /> Pixtnit Permit
<br /> Pre)garr+ Program Code and Description 1** C 0 R R E C T E D A a k valid
<br /> Rcoord ID Number
<br /> PRO519401 PT0012001 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 111/20015 To 12131f2006
<br /> Haze daces Waste(3eneratar Prtxi[llm:_
<br /> in order to maintain the permit to operate,Hazardous Waste Generators shall comply with California Health end Safety Code,Div.20,Chap.6.5,Art 2-13,
<br /> Sec_25100 at so ,_and Title 22,California Code Of RlsQufationsf Chap.20______ ______________.. --------------—
<br /> 1/1/2005 To 12!31/2005
<br /> PR0231760 2300-UNDERGROUND STORAGE TANK FACILITY
<br /> St T nit P
<br /> California Health and Safet�r•Code,PN,20,Chap,6.7 and Title 23,California Code of Regulations,Cha 1.. __________________________________________________ _
<br /> Tanank Record erntttCapacity ontents ertntt Status System Type
<br /> Lak Dttectton
<br /> 2362 @ _BCCt)23",7600515795. PT001=7 13,We REOULhft Uflt ME) /�cti-a8,biMabio DOUBLE WALLED con ynuous!rterstklat .cniro�
<br /> 2360 9 390002317800515768 PT001re,6256 12,000 REGULAR UNLEADED Acthbillable aouet H WALLED cantlrnww ktNratMitl sAertkerk q
<br /> UnderEround 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 systems)f2♦ils to remain in compliance with these Permit Conditions.
<br /> 2) In order to maintain the operating permit,rite owner and operator shall comply with the H&S Code,Div.20,Chap.6.7 and 6.7 S;and CCR,Title 23,Chap.16 and 18,as well as any conditions
<br /> established by San Joaquin County,
<br /> 3) If the Tank Operators)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(aM)and are considerard UST Pemtit Conditions. The approved
<br /> mottitoring,response,and plot plans shall be maintained onsite with the Permit,
<br /> 5) The Permittee shall comply with the monitoring procedures refacriccd in this permit.
<br /> 6) The Permittee shall perform testing and ptevcntivo mitintenarlee 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 /> Pam shall comply with the requirements of Title 23 CCR Chap.16,Art.S,and the approved Emate the Response Plan.
<br /> In the event of a spill,leak,or other utfauthorized release,the P 1
<br /> Written records of all monitoring performed shall be maintained onsite by the operator and be available for inspection for a period of at least three years&0m the date the monitoring was
<br /> performed.
<br /> 9) The EHD shalt 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)n tank contents or usage),the Permit to Operate will be subject to review,modification of
<br /> revocation,
<br /> 11) Construction,repair and/or removal permits are required from the SHD prior to any change.repair of removal of UST system equipment.
<br /> 12) The Permittee shill submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the date of the issuance of this permit.
<br /> 13) This Permit to Operate shall not be considered permission to violate arty laws,ordinances or statutes of any other Federal,State or Loral agency.
<br /> 14) A"Conditional"Permit may he revoked if corrections specified on fife 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: NORDY, CATHERINE &WILLIAM
<br /> DBA: WATERLOO SHELL FOOD MALT
<br /> THIS FORM MUST 86 DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility: WATERLOO SHELL` Facility ID FA0003831
<br /> 4315 WATERLOO RD Account ID AR0003419
<br /> STOCK'TON CA 95205 issued 6/24/2005
<br /> Billing Address: ATTN : NORBY, CATHERINE & WILLIAM
<br /> WATERLOO SHELL*
<br /> 9315 WATERLOO RD
<br /> STOCKTON CA 95205
<br /> 7023.gA
<br />
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