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SAN 1OAq ejCOUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 304 E.Weber Ave.,Third Floor• Stockton,CA 95202-2708•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 /> Permit
<br /> Program Permit
<br /> Record ID Number Program Code and Description Valid
<br /> PRO514045 PT0010240 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2004 To 12/31/2004
<br /> Hazardous Waste Generator Program:
<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. ----------------_---._-_---_-_____-_______-_--____--________
<br /> PR0231070 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2004 To 12/31/2004
<br /> Underground Storage Tank Program:
<br /> California Health and Safety Code,Div.20,Chap. and Title 23,California Code of Regulations,Chap:16__________ ________.___-__---_____-----------------_-_______
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<br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status Sy.tem T}pe Leak Detection
<br /> 2360 7 390002310700505600 PT0008167 15,000 REGULAR UNLEADED Active,billable DOU3t_E w•QED Continuous Interstit al Monitoring
<br /> 2360 8 390002310700505601 PT0008166 15,000 PREMIUM UNLEADED Active,billable DOUBLE W kL ED Continuous Interstitial Monitoring
<br /> 2362 5 390002310700107005 PT0004847 550 OTHER Active,billable DOUBLE WA-11 ED Continuous Interstitial Monitoring
<br /> BOE 1D# `144-0'24520,
<br /> `
<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 complia;,ce 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,Tif-23,Cam.).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 operate:of the_nk,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 considerer::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 speci5-d by the equipment manufacturer,and
<br /> provide documentation of such servicing to this office.
<br /> 7) In the event ora spill,leak,or other unauthorized release,the Permitee shall comply with the requirements of Title 23 CCR,Chap.16,An.5.and;he 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!est 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 Opera::will be subject to review,modification or
<br /> 11) Ced'&9&i,41bn,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 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: SHELL OIL PRODUCTS US
<br /> Tank Owner: SHELL OIL COMPANY
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility: COUNTRY CLUB SHELL* Facility ID FA0006439
<br /> 2575 COUNTRY CLUB BLVD Account ID AR0008426
<br /> STOCKTON, CA 95204 Issued 4/1/2004
<br /> Billing Address:
<br /> COUNTRY CLUB SHELL*
<br /> 2575 COUNTRY CLUB BLVD
<br /> STOCKTON, CA 95204
<br /> 7023.rpt
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