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SAN JOAOtY4N COUNTY PUBLIC HEALTH S6. ICES 304 E.WEBER AVE.,THIRD FLOOR • STOCKTO\,CA 95202 • PHONE(209)468-3420 KAREN FURST,M.D., M.P.H.,HEALTH OFFICER DONNA HERRN,R.E.H.S.,DIRECTOR ENVIRONMENTAL HEALTH DIVISION ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERT1,IFI OP RATED PROGRAM AGENCY PY PERMI \J Valid Valid ogram Program Code and Description Record lD Number B 111100 To 12131100 PR051371 PT0009912 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR LITY FACI Hazardous Waste Generator Program: ' California Health and Safety Code Div.20,Chap.6.5,Art.2-13 See.25100 et seq,and Title 22 California Code of Regulations,Chap_20_ 00 To 1----0 - "- - " ---- -2300-UNDERGROUND STORAGE TANK FACILITY PR023188 Underground Storage Tank Pro rg am: California Health and Safety Code Div.20,Chap.6.7 and Title 23 California node of Regulations Chap.us _ --s - -Y e DOUBLE WA.LEU e r C 1 zaou c ive REGULAR UNLEADED ACIIVQ DOUBLE WALLED AUTOMATIC TANK GUAGE 2360 7 390002318830505959 PT0008826 15,000 WASTE OIL Active 2360 5 390002318830188305 PT0004931 550 Underground Storage Tank Permit Conditions 1) The Permit to Operate will become void if Annual Perm it Fees and Service Fees are trot 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 permit holder shall comply with the H&S Code,Div.20,Chap.6.7 and 6.75;and CCR,Title 23,Chap. 16 an I3,as well as any conditions esm bustled by San Joaquin County. 3) If the Tank O�erator(s)is different from the Tank Owner,o 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 �p 4) USTWritten MititoringPro duns and Of an Emergency ures Res and Emergelncy ReaponcePlan mved�[be aF xhd ethislpermit obe aaitable forrreeviewd and/or inspection 5) ��hh`` T site IffiP��ntee shall comply with the monitoring procedures referrenced in this permit. 6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment amually,or more frequently if specified by the equipment manufacturer,and provide documentation of such servicing to this office 7) In theevent of a spill,leak,or other unauthorized release,the Pemlilee shall comply with the requirements of Title 23 CCK Chap. 16,Art.5,and the approved Emergency Response Plan. g) Writtene cords ofallmon monitoring nag perfoormedd shall be maintained on-site by the operator anFrod be available for inspection for a period of at least three years 9) The PH date the 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 o usage),the Permit m Operate will be subject to review,modification or revocation. 11) Construction,repair and/or removal permits are required from the PHSIEHD prior to any change,repair or removal of UST system equipment. 12) The Permittee shall submit an annual repot documenting compliance with the UST Permit Conditions within 30 days of the anniversary date of the issuance of this permit. 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. 14) A"Conditional"Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated. r PERMITS TO OPERATE are NOT TRANSFERABLE and may be SUSPENDED or REVOKED for cause. PERMIT(s)Valid only for: EQUILON LLC ENTERPRISES Tank Owner: SHELL OIL CO INC THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES Facility ID FA0002111 Regulated Facility: SHELL SERVICE STA' Account ID AR0003362 3011 W BENJAMIN HOLT DR Issued 9/28/2000 STOCKTON, CA 95219 Billing Address: ATTN : BENJAMIN HOLT SHELL SHELL SERVICE STA' 3011 W BENJAMIN HOLT DR STOCKTON, CA 95219 7023.rpt