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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.Web,,Ave.,Third Floor•Stockton,CA 95202-2708• Phone(209) 4683420 <br /> Donna Herart, R.EH.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Permit <br /> Program Permit Ileogram Code and Description Valid <br /> Record to Number 1/1/2003 To 12/31/2003 <br /> PR0513717 PT0009912 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY <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 22c Califomia Code of Regulations,Chap_20:-..-T-' ,y31Y1003 <br /> - - -- - - --- ------- <br /> IS <br /> - 11112003 0 <br /> ISR0231883 2300-UNDERGROUND STORAGE TANK FACILITY <br /> Underground Storage Tank Program: <br /> Califomia Health and Safety Code,Div.20,Chap.6.7 and Title 23,Califomia Code of Regulations,Chap, _---- -------- -- ----- -- - - -- -- - <br /> .------------------- <br /> ._..............—..._...._. . ._---i - <br /> ill" <br /> P/E yank# Tank Record ID Permit# Capacity Conten Ls Permit Status DOUBLEtA ED Conanuwas InDterst stat Morum,,19 <br /> 2360 8 390002318830505960 PT0008827 15,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED continuous Interstitial Monitoring <br /> 2360 7 390002318830505959 PT0008826 15,000 REGULAR UNLEADED Active,billable <br /> 2362 5 390002318830188305 PT0004931 550 <br /> Active,billable DOUBLE WALLED Continuous Inlemb0al Monilodng <br /> BOE.ID#:'4d-00067d• - i - <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 thea Permit Conditions. <br /> 2) In order to maintain the operating permit,the owner and operator shall comply with the FLYS Code.Div.20,Chap.6.7 and 6.75;and CCR,Title 23,Chap.16 and is,as well as any conditions <br /> established by San Joaquin County. <br /> 3) If the Tank Operalor(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 most be approved by the Emimnmental Health Department(EHD)and are cOnsidererd UST Pemlit Conditions. The approved <br /> monitoring,response,and plot plans shall be rminumcd onsite with the pemdt. <br /> 5) The Pemtiltee shall comply with the monitoring procedures referenced in this per"L <br /> 6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently ifspecified 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 Permilee shall comply with the requirements of Title 23 CCR Chap.16.An.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 /> performed. <br /> 9) The EHD shall be notified of any change in ownership or operation of the UST system within 30 days or 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 resiew,modification or <br /> 11) CS&Wkglbm repair and/or mmoval permits are required from the ERD prior to any change,repair or removal of UST system equipment- <br /> 12) The Permittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the anniversary date of the issuance of this pcmit. <br /> 13) This Pemit to Operate shall not be considered permission to violate any laws,ordinances or statutes of any other Federal,State of Local agency. <br /> 14) A"Conditionai"Permit maybe revoked Hcogections specified on the inspection report amnol complctedby 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: SHELL OIL PRODUCTS US <br /> Tank Owner: SHELL OIL CO INC <br /> THIS F0I01 MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Facility ID FA0002111 <br /> Regulated Facility. SHELL SERVICE STA* Account ID AR0003362 <br /> 3011 W BENJAMIN HOLT DR Issued 51112003 <br /> STOCKTON, CA 95219 <br /> Billing Address: ATTN : KENDRICK, JOHN <br /> SHELL SERVICE STA* <br /> 3011 W BENJAMIN HOLT DR <br /> STOCKTON, CA 95219 <br /> 7023 rpt <br />