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t SAN JOAQ UL 1 COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E. Hazelton Ave. • Stockton,CA 95205-6232 • Phone(209) 468-3420 Donna Heran,R.E.H.S.,Director ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Only for"Permit Status" identified as IN COMPLIANCE Program Permit Permit Record ID Number Program Code and Description Permit Status: Valid PR0518406 PT0012004 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY IN COMPLIANCE 1/112015 To 12/31/2015 Hazardous Waste Generator Program: 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, Sec_25100et sec,and Title 22,California Code of Regulations,_Chap._2Q: PR0231084 2300-UNDERGROUND STORAGE TANK FACILITY Underground Storage Tank Program: California Health and Safety Code,Div.20,Chap.6.7 and Title 23,California Code of Regulations, Chap. 16_ -- - t an ----y - - •, - - — -- - -------------------- --- ---------- - - ---p -------- -------------- ------------- -- P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection Permit Valid 2362 5 390002310840108105 PT0004801 12,000 REGULAR UNLEADED IN COMPLIANCE DOUBLE-WALL Continuous Monitoring 1/1/2015 To 12/31/2015 2360 6 390002310840108106 PT0004802 12,000 PREMIUM UNLEADED IN COMPLIANCE DOUBLE-WALL Continuous Monitoring 1/1/2015 To 12/31/2015 2360 7 390002310840108107 PT0004803 12,000 DIESEL IN COMPLIANCE DOUBLE-WALL Continuous Monitoring 1/1/2015 To 12/31/2015 BOE ID#: 44044257 Underground Storage Tank Permit Conditions 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. 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 established by San Joaquin County. 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 the Tank Owner and tank Operator receive a copy of the permit. 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 monitoring,response,and plot plans shall be maintained onsite with the permit. 5) The Pennittee shall comply with the monitoring procedures referenced in this permit. 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 provide documentation of such servicing to this office. 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. 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 performed. 9) The EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change. 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 revocation. 1 1) Constriction,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment. 12) This Permit to Operate shall not be considered permission to violate any laws,ordinances or statutes of any other Federal,State or Local agency.' 13) A"Conditional'Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated. ---------------------- -------------------------- --------------------------------------------------------------------------------------------------- ----------------------------..: .i.___.. PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause. PERMIT(s)Valid only for: LUTZ, ROBERT& KATHY Tank Owner: LUTZ, ROBERT&: KATHY CERSID 10182111 Regulated Facility: SHELL FOOD MART Facility ID FA0006447 2320 N EL DORADO ST Account ID AR0008445 STOCKTON CA 95204 Issued 3/19/2015 7023.rpt