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SAN fiOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 304:E.Weber Ave.,Third Floor 0 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 /> Pro_ram Permit
<br /> Record ID Number Program Code and Description Valid
<br /> PRO518406 PT0012004 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2005 To 12/31/2005 .
<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 Cc,,-.,a of Regulations,Chap.20: __-_---__ _ -- - - --- -
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<br /> PR0231084 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2005 To 1/:31/2005
<br /> Underground Stora Le Tank Program:
<br /> California Health and Satety 60 20 Chap.6.7 and Title 23,California Code of Reulations,Chap_16_ -------------- ----_______________
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<br /> Y/E x Tank Record ID Permit# Capacity Contents Permit Status System Typs� Leal Detection
<br /> 62 5 390002310840108105 PT0004801 12,000 REGULAR UNLEADED Active, billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2.360 6 390002310840108106 PT00048U2 12,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 7 390002310840108107 PT0004803 12,000 MIDGRADE UNLEADED Active,billable DOUBLE WALLED' Continuous Interstitial Monitoring
<br /> Underground Storage Tank Permit Conditions
<br /> 1 The Permit to Operate will become void Feesarrd- 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 HRS 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 /> ued 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 Permit to Operate is iss
<br /> the Tank Owner and tank Operator receive a copy of the permit.
<br /> 4) INtitten Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Department(EHD)and are considererd UST Permit Conditions. The approved
<br /> monitoring,response,and plot plans shall be maintained onsite with the permit.
<br /> 5) The Pennittee 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 Permitee shall comply with the requirements of Title 23 CCR,Chap-16,Art.5,and the 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 from the date the monitoring was
<br /> performed.
<br /> 9) The EHD shall be roti"ed 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 chance in tank contents or usage),the Permit to Operate will be subject to review,modification or
<br /> revocation.
<br /> i i) Construction,repair and/or removal permits are required f om 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: Ll1TZ, ROBERT& KATHY
<br /> Tank Owner: LUTZ, ROBERT&: KATHY
<br /> THIS FORV.MUST BE DISPLAI'ED CONSPICUOUSLY ON THE PREDIISES
<br /> Regulated Facility: SHELL FOOD MART* Facility ID FA0006447
<br /> 2320 N EL DORADO ST Account ID AR0008445
<br /> STOCKTON, CA 95204 issued 211012005
<br /> BillingAddress: ATTN LUTZ, ROBERT. & KATHY
<br /> SHELL FOOD MART*
<br /> 2320 N EL DORADO ST
<br /> STOCKTON, CA 95204
<br /> 023.rpt
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