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SAN JOAQ COUNTY PUBLIC HEALTH SE"CES <br /> ACES 4 if <br /> r <br /> 304 E.WEBER AVE.,TI FLOOR STOCKTON,CA 95202 PHol09)468-3420 <br /> KAREN FURST M.D. M <br /> .P.H. HEALTH OFFICER <br /> DONNA HF.RAN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNI FI ED PROGRAM AGENCY ' <br /> PERMIT TO OPERATE <br /> i <br /> rogram crmrt <br /> Per nit <br /> Record iD Number Program Code and Description Valid <br /> s <br /> PR023141 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/00 To 12/31/00 ; <br /> Underground Storage Tank Program: :o <br /> California Health and Safety Code Div.20,Chap.6.7 and Title 23 California Code of Regulations Chap. 16. <br /> anK IFLL I an K Recorac nu apace y on ens PermitStatus <br /> r , <br /> 23bu 11 390002314170141711 P10004827 12,000 UNLE <br /> ,tr. <br /> Active <br /> 2360 10 390002314170141710 PT0004826 12,000 UNLEADED Active <br /> 2360 9 390002314170141709 PT0004825 12,000 UNLEADED Active <br /> 2360 8 390002314170141708 PT0004824 12,000 UNLEADED Active <br /> BOE iD# 44-000074 L <br /> Underground Storage Tank Permit Conditions <br /> n <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 <br /> these Permit Conditions. <br /> 2) In order to maintain the operatingpermit,the permit holder shall comply with the H&S Code,Div.20,Chap.6.7 and 6.75;and CCR,Titic 23,Chap. 16 and <br /> 18,as well as any conditions established by San Joaquin County. <br /> 3) 1f 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 <br /> Permittee shall ensure that both the Tank Owner and tank Operator receive a copy of the permit. r I; <br /> 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Division(PHS/EHD)and are considererd '" <br /> UST Permit Conditions. Copies ofthe Procedures and Emergency Response Plan must be attached to this permit or be available for review and/or inspection " f <br /> th UST site. <br /> 5) �he�'ermrttee shall comply with the monitoring procedures referrenced in this permit. p z <br /> Y{ <br /> 6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently ifspecitied by the <br /> equipment manufacturer,and provide documentation of such servicing to this office. <br /> 7) In the event of a spill,leak,or other unauthorized release,the Pernitce shall comply with the requirements of Title 23 CCR,Chap. 16,Art.5,and the s <br /> 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 <br /> from the date the monitoring was performed. <br /> 9) The PHS/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 % <br /> review,modification or revocation. ` <br /> s k: <br /> 11) Construction,repair and/or removal permits are required from the PHS/EHD prior to any change,repair or removal of UST system equipment. j <br /> 12) The Permittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days ofthe anniversary date ofthe issuance <br /> 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 arc 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 ? <br /> Tank Owner: SHELL OIL COMPANY INC <br /> THIS FORM MUST BF,DISPLAYED CONSPICUOUSLY ON TIIE PREMISES <br /> Regulated Facility: SHELL OIL CO* Facility ID FA0003780 <br /> 3725 N TRACY BLVD Account ID AR0003363 <br /> TRACY, CA 95376 Issued 1011012000 <br /> Billing Address: ATTN : SHELL OIL CO <br /> SHELL OIL CO* <br /> 3725 N TRACY BLVD <br /> TRACY, CA 95376 <br /> 7023.rpt * .- <br /> p <br />