|
ti r! u ♦ rFdttifr e etre i * t4 b?
<br /> nei t-'#' ti '' lr' ""•�.xy'���J - `� 4,4ex tri' •t
<br /> yl SAN JOAQUI� COUNTY ENVIRONMENTAL HEALTH DEPARTMENT;, r�a ��`>¢x
<br /> 600E Main St. • Stockton, CA 95202-3029 •Phone(209)468-3420 , i' A
<br /> ,rfi,a .'t
<br /> Donna Heran,R.E.H.S.,Director P ,r� ;t, �r �t
<br /> t F ENVIRONMENTAL HEALTHr� L
<br /> ..f'+.R �kXU2 r4,. rat s arf t r� 4n
<br /> ly„l•S� < 4 .lf
<br /> i ¢1 a ,��, a r•� --Y'�A �3' tr F „'�,. r ��p^f A'C,k,y.i n5 SY stay`_
<br /> SAN JOAQUIN COUNTY CERTIFLED UNIFIED PROGRAM AGENCY
<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 1/1/2012 To A2/31/2012
<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_2510Qet seq and Title 22,Cahfornia:Code of Regulations Chap 20
<br /> PR0231084 2300'-UNDERGROUND STORAGE TANK FACILiMR
<br /> lw*
<br /> Underground Storage Tank Program: Kr ?{ 1/1/2012 To 12/31/2012
<br /> ,• :. tx ice* a ra c r^t a)tr 4
<br /> California Health and Safet_Code,Div.20,Chap. and Title 23,California Code of Regulations Chap
<br /> y P -
<br /> tt' '
<br /> P/E Tank 4 Tank RecordID Permit# Capacity Contents, Permif Status System Type Leak Detection
<br /> 2362 5 390002310840108105 PT0004801 12,000 REGULAR UNLEADED Active,billable 4ROU6LE WALLED Continuous Interstitial Monitoring
<br /> 2360 6 390002310840108106 PT0004802 12,000 PREMIUM UNLEADED• Active,billable ?;DOUBLE WALLED Continuous Interstitial Monitoring
<br /> t ' 2360 . 7 $OOQ023'1{?$40108107 PT0004803 i2;�Q0 DIE;Frt ti - Active,billable �,0�4�wALLED , Crontuttmp§tntarotWatMotlrtQring r
<br /> y z - M e r 'Sx;I 'Y 9.�' �` 4 Y�'x id• ,a r ..,'vF b .. r _.,g 4 a
<br /> Undergrtiand° 6iigir-Tank Permit Conditions t� ,�`;• .� ,<�rlr y � '
<br /> ,.:i �S{ -flt s.#'+N
<br /> 1) The Permit to Operate will become void if Annual Permit Fees and Service Felts are ttobpaid attd/or,the,1JST'systeni(s)1'ails`fo remain in cotnpGance 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.,Ib and 18,as well as any conditions
<br /> established by San,Joaquin County.
<br /> t+ 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 ensure that both
<br /> i +'• the Tank Owner and tank Operator receive a copy of the permit.
<br /> 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 /> qe monitoring,response,and plot plans shall be maintained onsite with the permit.
<br /> SJ; - 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 momtonng'equipmedt annually,'or more frequently if specified by the equipment manufactttrer,anii `
<br /> provide documentation ofsuch 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 Plant
<br /> 8) Written records of all monitonng.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 /> t I0)` Upon any change in equipment,design or operation of the UST system(including change in tank contents or usage),the Permit fo f5perateiwll bi subjeetto review,modification of
<br /> revocation.
<br /> s 11) Construction,repair and/or removalpermits are required from the EHD prior to any change,repair or removal of UST system equipment.: r St< ti f
<br /> 12) This Permit to Operate shall not be considered permission to violate any laws;ordinances or statutes of any other Federal,State or Locai agene}t ? Y1ivi�, 1r��i �T "
<br /> 13) A"Conditional Permit,may be revoked ifcorzections specified on the inspection report are not completed by,the date(s) indicated.
<br /> ar' k - - - __ - __
<br /> t
<br /> - tt' 6t r,s,F a a rf #f a ti �"�''fSr `'° Z'
<br /> ..s . + ,S1 ;•.... y M.
<br /> 11ri¢T4 .rY,t. w,7++�"' ,rY. ,rp�•... ,"Y'�. a rati 14,.,ain[ 1f' d
<br /> asr ¢ c P ,..cr•)•r '.:S.s `r,,.`"`l` :tf .„t. , �x.� -;w,::`Y.r.. t.Ties 'a ,r, C j.,•.Y{/)+`'i;x''•+,yar fi^xk 'G'.r
<br /> x� '.�r".7;fir' r,7 ir:..+7 i��' \'>"; 'h� •t,2,,--�'+A A.r,•�h• r,•. •�J.Z1a tap�',9t. iy,y+'?r - g��y. -^t.. , :t, � !
<br /> "' Y:Yr i•f.i- !ct t+ ,t, ,,,a F 4' *f> Sh"#t "5^,,ryi.ah, 4rf•` a Y. w1n',eR,," } a r,`�
<br /> t"+ • x S ,"< „', 1 ., qq a. '`T w.ft �23,:a'p 1['. 13 �y"5'V�r`�i z fA li
<br /> 7
<br /> h ,
<br /> r PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause,
<br /> Valid only for: LUTZ, ROBERT&KATHY
<br /> ' 1 L
<br /> 1 4k- t4Y'} nl*r r t;.y„#xxj '1-X•Cf°W K<l k :3 Y k�, 4�.. ja =
<br /> Tank Owner: LUTZ, ROBERT&: KATHY
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> SHELL FOOD MART ��^`J ,� " i � `, r° � ;� , Facility ID FA0006447
<br /> Regulated Facility. nrr + w g** �- 4 rY�a t
<br /> 4 r 2320 N EL DORADO ST' S Fi> ,�� ta
<br /> i r �' rpt `' a "Account ID AR0008445 ;
<br /> C Krl 3 +* n
<br /> i - 211012012
<br /> STOCKTON CA 95204- yes '�� r a$
<br /> +r > / e i,t' Issued
<br /> l *ty.C h 1`. •rro �" x }n '� a"r£ a `` o� s -7 � t
<br /> ,t •,:s�r"'`. ,rG�.
<br /> r ' T Y r#��„'`�•r r'z � `y*'- !;ASi �{v l8 cy�' sla�isr r r.,ty4 1 �* �,kr. * e ek' ,fir F B F
<br /> Billin Address: w;
<br /> g `ATTN LUTZ, ROBERT &'� XA`PI S
<br /> f r`� ^5rt+ .y t ;T rr}';a. }•q�.+. "Gk'",`y.+
<br /> ti e ri
<br /> SHELL ,FOOD MART
<br /> ri q h �iix� `/Hryi � rR' x3 a y"3 r`yi"�r*< s wry{ r #k �zwr t
<br /> ti lar R s 2320 N EL DORADO STfl STOCKTON CA
<br /> y,Fc rh�.",�„ri`+" .�c� `�„ f � 'S� �'a#1" qr'1 �.,,_- jlt{ �t• t a, . �avl"`r P �+�.Ifw:*w
<br /> s i.f ir'u YrM� $ t #a����i��Tv:,,�n`�p! `'!! Y< Lt r°trG�&. '� )�r F tR,��;�q,,� ;.•;,ty)^�t'A ?��R ,�� s!','t_+`�,`�'• ?'�s'i�`..w::'�
<br /> -d"`,{
<br /> •�; �r r�= r.' } ';�, ar 4. �, �* s ka n ��.+ •�, r.r,.,�.'�'; c' y� ,fps Y,,t� °�.r �'� Y,� � py
<br /> .rt;'4:, `z}'.'. �r 4 yr "'✓.e,"; e c�' Fik' v�.i y 7 # a"t` tr v�, f7' + ^'�- '73,r a:> az :l:! h
<br /> a.: #0x,s,-�l l.a.s� Y@..4x'.. �r i;7;5"w,,�y7��,�p.u„ �.V,JY'v 1�. 4"tryi`t-;:Ykt~ .�•'ta tt......i? Y e_�Y; F t ,:nuc
<br />
|