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TO
<br /> SAN JOAQULN COUNTY ENVIROiNAT IENTAL HEALTH DEPARTMENT
<br /> 1868 E. Hazelton Ave. • Stockton,CA 95205-6232 • Phone(209)468-3420
<br /> "
<br /> Donna Heran,R.E.H.S.,Director
<br /> r ENVIRONMENTAL HEALTH .. W _
<br />" SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit Permit '
<br /> Record ID Number Program Code and Description Valid
<br /> PR0518406 PT0012004 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2014 To 12/31/2014
<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 se �1d Tine 22,Cali is Code of Regulations,Chap_20.
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<br /> PR02308"f 4 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2014 To 12/31/2014
<br /> UndeMMUR&Storage Tank Program:
<br /> Cal-ifornia-Health- --and-Saf- ety-C- -Div.-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 Pen-nit Status System Type Leak Detection
<br /> 2362 5 390002310840108105 PT0004801 12,000 REGULAR UNLEADED ACTIVE,BILLABLE DOUBLE-WALL Continuous Monitoring
<br /> 2360 6 390002310840108106 PT0004802 12,000 PREMIUM UNLEADED ACTIVE,BILLABLE DOUBLE-WALL Continuous Monitoring
<br /> 2360 7 390002310840108107 PT0004803 12,000 DIESEL ACTIVE,BILLABLE DOUBLE-WALL Continuous Monitoring
<br /> BOE ID#: 44044257
<br /> Underground Storage Tank Permit Conditions '
<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 /> 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 die Environmental Health Department(EHD)and are considererd UST Permit Conditions. The approved r
<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. X
<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 /> r
<br /> performed. L, y l `
<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) This Permit to Operate shall not be considered permission to violate any laws,ordinances or statutes of any other Federal,State or Local agency. f s
<br /> 13) 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 /> PERMITS
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<br /> PERMITS TO OPERATE 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 /> SHELL FOOD MART Facility ID FA0006447
<br /> Regulated Facility: Account ID AR0008445
<br /> 2320 N EL DORADO ST
<br /> Issued 3/12/2014
<br /> STOCKTON CA 95204 t.
<br /> fa. �
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<br /> Billing Address: ATTNLUTZ, ROBERT & KATHY 7at
<br /> SHELL FOOD MART
<br /> 2320 N EL DORADO ST
<br /> STOCKTON CA 95204
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<br /> 7023.rpt i f
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