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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DiPiART,l t
<br /> 600 E. Main St. •''Stockton, CA 95202-3029 •!0*me(209)468-M%0
<br /> A
<br /> Donna Heran,RXI-I.S., Director
<br /> ENVIRONMENTAL HEALTH F " ' �
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY ` rS
<br /> PERMIT TO OPERATE '
<br /> Program Permit ,^ 1 _ Permit .
<br /> Record ID Number Program Code and Description
<br /> Valid 1,
<br /> PR0518406 PT0012004 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2011 To 12l31/Zg11 +
<br /> Hazardous Waste Generator Program
<br /> In order to maintain the permit to operate, Hazardous Waste Generators shall}comply With'Califorr is Health and Safety Code,DI±r: ,,Ctlap.
<br /> Sec_25100_et seq,-and Title 22 CaJifornia Code of Regulations,Chap._20--------------- __ _____
<br /> PR0231084 2300-UNDERGROUND STORAGE TANK FACILITY /�/2p1�'Ta 12/31/2011 41 ,.
<br /> Underground�terFank Program.
<br /> California Health and Safety Code;Div.20,Chap._6.7 and Title 23,California Code of Re�ulahols Chap_ 16
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<br /> P7E Tank# Tank Record ID Permit# Capacity Contents Permit Status Systerii Type Leak Detection
<br /> 2362 5 390002310840108105 PT0004801 12,000 REGULAR UNLEADED Active,bltlgWb"> DOUBLE WALLED Continuous tnterstitiat Monitoring
<br /> 2360 6 390002310840108106 PT0004802 12,000 PREMIUM UNLEADED Active,billa4l.0 DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 7 390002310840108107 PT0004803 12,000 DIESEL Active,billable DOUBLE WALLED Continuous Interstitial Morntoring
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<br /> Underground Storage Tank Permit Conditions
<br /> I) The Perin it to Operate will become void if Annual Permit Fees and Service Fees are not paid and/or the UST systems)ftiilstomaib t{t Compliance with these Permit Conditions
<br /> 3). in order to maintain the operating permit,the owner and operator shall comply with the H&S Code,Div.20,Chap.6.7 and{7; CCR;Tide 23,Chap.16 and 18,as well as any conditions' i
<br /> "established by San Joaquin County.
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<br /> $) Tf the Tank Operator(s)is different from the Tank Owner,or if the Permit to Operate is issued to a person other thtltt the owner or operator of the tank,t�q Permittee shall ensure that both ra ix}
<br /> '',the Tank Owner and tank Operator receive a copy of the permit
<br /> 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Department(EHD)and are considererd U$T 'ennit Conditions. The approved a
<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
<br /> f) ;,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` k n
<br /> provide documentation of such servicing to this office. i ,$
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<br /> 1) in the event of a spill,leak,or other unauthorized release,the Permitee shall comply with the requirements of Title 23 CCR,Chap.1(t,Art.5,and the approved Emergency Response Plan
<br /> 8 Written records of all monitoringperformed shall be maintained on-site b the operator and be available for inspection for period of at three ears from the date the monitoring was -fi
<br /> P Y P P P Y g P� r
<br /> performed. y =
<br /> 9) The EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change t £
<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 subJmCtt rtvr6 4,modification
<br /> revocation. _ ,;` •?'
<br /> IIj Construction,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment.
<br /> I, ,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 /> l� 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 /> 1$) A"Cpndrnonal;'Permit ,may be revoked if corrections specified on the inspection report are not completed by the date(s) iadlcated +
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<br /> PERMITS TO OPERATE may be SUSPENDED or REVOKED for-',gao e,
<br /> PERMIT(s)Valid only for: LUTZ, ROBERT& KATHY Nr
<br /> Tank Owner: LUTZ ROBERT&: KATHY
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY O »» (��+
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<br /> SHELL FOOD MART r Facility 1D'FA0006447
<br /> Regulated Facility: t wY
<br /> 2320 N EL DORADO ST ? Account A
<br /> STOCKTON GA 95204 , Issued 21412011
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<br /> R0008445
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<br /> BtllipgAddre ATTN L 7T"Z, RO$Ik"R
<br /> SHELL E`tfl4L?1'MART t
<br /> 2320 N EI, I1QRADO ST L"
<br /> STO,CKTON`. CA.-' 95204 >J
<br /> •i�OPB�t t:
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