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<br /> ! ; = . sv SAN JOAQU: OUNTY ENVIRONMENTAL HEAL EPARTMENT P 4
<br /> 600 E. Main St. • Stockton,CA 95202-3029 • Phone(209)468-3420
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<br /> t s i Donna Heran R.E.H.S. Director r
<br /> S i y �'0.,r4 t y t rS,S 4
<br /> ENVIRONMENTAL HEALTH t M
<br /> JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> t' Program Permit Permit
<br /> Record ID Number Program Code and Description Valid
<br /> PR0518406 PT0012004 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2008 To 12/31/2008
<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. � Tt
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<br /> PR0231084 2300- RGROUND STORAGE TANK FACILITY + .ti" ';4XrTtr}` r'ri 1/1/2008 To 12/31/2008 rt
<br /> Underground Storage Tank Pro ram ^
<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 UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 7 390002310840108107 PT0004803 12,000 MIDGRADE UNLEADED Active,billable -A—DOUBLE WALLED- Continuous Interstitial Monitoring
<br /> ^ Underground Storage Tank Permit Conditions
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<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 /> 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 /> t r` the Tank Owner and tank Operator receive a copy of the permit.
<br /> S; 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Department(EHD)and are eonsrdererd UST Permit Conditions. The approved
<br /> monitoring,response,and plot plans shall be maintained onsite with the permit. a0 �rt s f �* �r I r �� � 7 r � a� t � �
<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 /> t" 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 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 /> I revocation. Y
<br /> �µ 11) Construction,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment. t) N sr '
<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 r �
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<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, r r ar
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<br /> PERMITS TO OPERATE are NOT TRANSFERABLE
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<br /> and may be SUSPENDED or REVOKED for cause.
<br /> r r PERMIT(s)Valid only for: LUTZ, ROBERT& KATHY
<br /> Tank Owner: LUTZ, ROBERT&: KATHY
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<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> a " Regulated Facility. SHELL FOOD MART* rte � � r i a Facility ID
<br /> � � ,a: rN FA0006447
<br /> 2320 N EL DORADO ST rfr ;4� � ;�` ate '„ r a� Z, Account ID AR000844
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<br /> STOCKTON CA 95204 Issued
<br /> 2/8/2008
<br /> Billing Address: ATTN LUTZ, ROBERT
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<br /> SHELL FOOD MART* ;
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