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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 304 E.Weber Ave.,Third Floor•Stockton,CA 95202-2708"a Phone(209)4683420 3
<br /> Donna Heran,R.E.H.S.,Director ,VP
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> "ars
<br /> Program Permit.
<br /> Permit
<br /> Record ID NumberProgram Code and Description Valid "
<br /> t PRO518406 PT0012004 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2007 To 12/31/2007
<br /> Hazardous Waste Generator Program:
<br /> In order to maintain the permit to operate,Hazardous Waste Generators shall comply with Califoriala Heafth arld"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 /> ,PR02310114 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2007 To 12/31/2007
<br /> Underground Storage Tank Program:
<br /> California Health and Safety Code, Div.20,Chap._6.7 and Title 23 California Code of Reulations Chap15 ---------------------
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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 /> 23§0 7 390002310840108107 PT0004803 12,000 MIDGRADE UNLEADED Active,billable DOUBLE-WALLED Continuous Interstitial Monitoring
<br /> -Underground Storage Tank Permit Conditions ' 4
<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"Code,Div:20,Chap.6.7 and 6.15;and C Tide23; 16 and 1 as well as an conditions r`
<br /> P g P P p Y P M. l�P $, Y
<br /> ..Established by San Joaquin County.
<br /> If the Tank Operators)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 /> r the Tank Owner and tank Operator receive a copy of the permit. t
<br /> 4 Written Monitoring Procedures and an Emer enc Res onse Plan must be approved b the Environmental Health Department EHD and are consider d UST Permit Conditions. The roved
<br /> ' } g g Y P PP Y P. (EHD) � PP �j
<br /> monitoring,response,and plot plans shall be maintained onsite with the permit. j
<br /> p 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 equipmentgn'nually,or more frequently if specified by the equipment manufacturer,and
<br /> provide documentation of such servicing to this office: :-
<br /> 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 attproved Emergency Response Plan.
<br /> $` Written records of all monitoring performed shall be maintained on-site by the operator and be available for inspection for a period of at least three years from the date the monitoring was l
<br /> performed.
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<br /> I):,-The EHD shall be notified of any change,in ownership or operation of the UST system within 30 days of such change..
<br /> '1"4£ Upon any change in equipment,design or operation of the UST system(including change in tank contents or usage),the Permttto'Comte,"!be subjegt to n:view,modification or
<br /> revocation. -
<br /> 91) ,Construction;repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment:
<br /> 12) =The Permittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the date of the issuance of this permit.
<br /> 13) Tttis Permit to Operate shall not be considered permission to violate any laws,ordinances or statutes of any other Federal,State or Local agency.•
<br /> 14) A"Conditional"Permit maybe"revoked if corrections specified on the inspection report are not completed by the date(s)indicgted;
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<br /> PERMITS TO OPERATE are NOT TRANSFERABLE Nr
<br /> and may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s)Valid only for: LUTZ, ROBERT& KATHY
<br /> Tank Owner: LUTZ, ROBERT&: KATHY
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> "wat6d I"*,. : SHELL FOOD MART* Facility ID'#A0006447
<br /> 2320 N ELDORADO ST Accol4nt IR AR0008445
<br /> STOCKTON CA 95204 issued '2/1$/2007 ;w;
<br /> Billing Address: 'ATTN t LUTZ, ROBERT: KATHY
<br /> SHELL FOOD MART*
<br /> 2,320 N EL DORADO ST :
<br /> STOCKTON CA. 9504
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