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SAN JOAQUIN COUNTY PUBLIC HEALTH S .AVICES <br /> 304 E.WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 • PHONE(209)468-3420 <br /> KAREN FURST, M.D., M.P.H., HEALTH OFFICER <br /> DONNA HERRN,R.E.H.S.,DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Permit <br /> Program <br /> Record ID NumbePermit r Pmgram Code and Description Valid <br /> PR0513717 PT0009912 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 111/01 To 12/31/01 <br /> Hazardous Waste Generator Program: <br /> California Health and Safety Code Div_20,Chap_6.5,Art.2-13 Sec.25100 et seq,and Title 22 California Code of Regulations_,Chap.__ 20___To' <br /> ___ <br /> PR0231883 2300-UNDERGROUND STORAGE TANK FACILITY 1/1101 To 12/31/01 <br /> Underground Storage Tank Program <br /> California Hea_lt_h_a_nd Safety Code Div,20, Chapmd_6.7 and Title 23 California Code of Regulations Chap_16-________________________________ <br /> P/E Tank# Tank Record ID Pet# Capacity Contents Permit Status System Type Leak Detection <br /> 2360 8 390002318830505960 PT0008827 15,000 PREMIUM-UNLEADED Active DOUBLE WALLED AUTOMATIC TANK GUAGE <br /> 2360 7 390002318830505959 PT0008826 15,000 REGULAR UNLEADED Active DOUBLE WALLED AUTOMATIC TANK GUAGE <br /> 2362 5 390002318830188305 PT0004931 550 WASTE OIL Active <br /> Underground Storage Tank Permit Conditious <br /> I) The Per mit 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 <br /> Conditions. <br /> 2) In order to maintain the operating permit,the permit holder 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 <br /> any conditions established by San Joaquin County. <br /> 3) If the Tank Operabr(s)is ddfcrent fiom 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 <br /> ensure that both 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 Division(PHS/EHD)and are considererd UST Permit <br /> Conditions. Copies of the Procedures and Emergency Response Plan must be attached to this perrrdt or be available for review and/or inspection at the USC site <br /> 5) The Permittee shall comply with the monitoring procedures referrenced in this permit. <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 <br /> manufacturer,and provide documentation ofsuch servicing to this office. <br /> 7) In the event of a spill,leak,or other unauthorized release,the Pormitee shall comply with the requirements of Title 23 CCR,Chap.16,Art.5,and the approved Emergency <br /> Response Plan. <br /> g) Written records of all monitoring performed shag be maintained on-site bythe operatorand be available for inspection fora period of at least three years from the date the <br /> monitoring was perfomned. <br /> 9) The PHS/EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change. <br /> 10) Upon anychange in equipment,design or operation ofthe UST system(including change in tankcontents or usage),the Permit to Operate will be subject to review, <br /> modification or revocation. <br /> 11) Construction,repair and/or removal permits are required from the PHS/END prior to any change,repair or removal of UST system equipment. <br /> 12) The Pcrruttee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the anniversary date of the issuance of this permit. <br /> 13) 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 /> 14) A"Conditional"Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated. <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: EQUILON LLC ENTERPRISES <br /> Tank Owner: SHELL OIL CO INC <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: SHELL SERVICE STA* Facility ID FA0002111 <br /> 3011 W BENJAMIN HOLT DR Account ID AR0003362 <br /> STOCKTON. CA 95219 issued 3129/2001 <br /> Billing Address: ATTN : BENJAMIN HOLT SHELL <br /> SHELL SERVICE STA* <br /> 3011 W BENJAMIN HOLT DR <br /> STOCKTON, CA 95219 <br /> 7023.rp1 <br />