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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 itiValid <br />Record ID Number Program Code and Description <br />PR0518401 PT0012001 2220 - SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2003 To 12/31/2003 <br />Hazardous Waste Generator Program: <br />California Health and Safety Code, Div. 20, Chap. 6.5, Art. 2-13, Sec. 25100 et seq, and Title 22, California Code of Regulations, Chap_ 20_ <br />-------------------- --------- --------- --- ------- ------------------ <br />PR0231760 2300 - UNDERGROUND STORAGE TANK FACILITY 1/1/2003 To 12/31/2003 <br />Underground Storage Tank Program: <br />Califomia Health and Safety Code, Div. 20, Chap. 6.7 and Title 23, Califomia Code_of Regulations, Chap- 16._ <br />------------------------------- ------------------------- - - <br />2360 7 390002317600505388 PT0007955 15,000 PREMIUM UNLEADED Active, billable UVUt5LC VVHLLCU-••••-••••� <br />2362 6 390002317600505387 PT0007954 15,000 REGULAR UNLEADED Active, billable DOUBLE WALLED Continuous Interstitial Monitoring <br />BOE -4D `44;dQi1Q7 +"' vj <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 />ermit to Operate is issued to a person other than the owner or operator of the tank, the Permittee shall ensure that both <br />3) If the Tank Operator(s) is different from the Tank Owner, or if the P <br />the Tank Owner and tank Operator receive a copy of the permit. <br />t be approved by the Environmental Health Department (EHD) and are considererd UST Pemrit Conditions. The approved <br />4) Written Monitoring Procedures and an Emergency Response Plan mus <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 Perm shall comply with the requirements of Title 23 CCR, Chap. 16, Art. 5, and the approved Emergency Response Plan. <br />nd be available for inspection for a period of at least three years from the date the monitoring was <br />8) Written records of all monitoring performed shall be maintained on-site by the operator a <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 />11) C�3'r�6141bn, 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 maybe revoked if corrections specified on the inspection report are not completed by the date(s) indicated. <br />Regulated Facility <br />Billing Address: <br />7023.rpt <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: SHELL OIL PRODUCTS US <br />Tank Owner: SHELL OIL CO <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />WATERLOO SHELL <br />4315 WATERLOO RD <br />STOCKTON, CA 95205 <br />WATERLOO SHELL <br />4315 WATERLOO RD <br />STOCKTON, CA 95205 <br />Facility ID FA0003831 <br />Account ID AR0003419 <br />Issued 5/1/200 <br />