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<br /> a SAN JOAQUI COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> ° ^ �' 600E Main St. • Stockton,CA 95202-3029 Phone(209)468 3420
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<br /> Donna Heran, R.E.H.S., Director
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<br /> ENVIRONMENTAL HEALTH4
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<br /> SAJOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
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<br /> PERMIT TO OPERATE
<br /> Program Permit Permit
<br /> Record ID Number Program Code and Description Valid
<br /> PRO518406 PT0012004 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 111!2009 To 12/31/2009
<br /> Hazardous Waste Generator Program: z
<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:
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<br /> PR0231084 2300-UNDERGROUND STORAGE TANK FACILITY 1/112009 To 12/31/2009
<br /> Underground Storage Tank Program:
<br /> California Health and Safety Code, Div.20,Chap.6.7 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 System Type Leak Detection
<br /> 2362 5 390002310840108105 PT0004801 12,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 6 390002310840108106 PT0004802 12,000 PREMIUM UNLEADEDActive,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 -79Q0Q X10840108107 PT0004803 12,000 DIESEL Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> tJ nderground Storage Tank Permit Conditions
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<br /> i 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.
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<br /> 2) In order to maintain the operating pennit,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
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<br /> w established by San Joaquin County.
<br /> 9 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 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(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 Permittee shall comply with the monitoring procedures referenced in this permit. +y
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<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.
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<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 /> revocation.
<br /> 11) Construction,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.
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<br /> # t� PERMITS TO OPERATE are NOT TRANSFERABLE
<br /> and may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s)Valid only for: LUTZ, ROBERT& KATHY ���`
<br /> Tank Owner: LUTZ, ROBERT&: KATHY
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
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<br /> Regulated Facility: SHELL FOOD MART" °� ' `p
<br /> Facility ID
<br /> z 9 �' �z r H > y FA0006447
<br /> 2320 N EL DORADO ST ' ' t ' �;y AccountlD AR0008445
<br /> STOCKTON CA 95204 ,� ,. r� +; Issued 2/4/20
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<br /> Billing ATTN LUTZ, ROBERT & KATHY
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<br /> 4 i 3 SHELL FOOD MART* rfi
<br /> .c f 2320 N EL DORADO ST
<br /> STOCKTON CA 95204 'F,"i Ca -
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