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Environmental Health - Public
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EHD Program Facility Records by Street Name
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BENJAMIN HOLT
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2200 - Hazardous Waste Program
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PR0513717
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BILLING
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Entry Properties
Last modified
12/15/2020 10:21:21 PM
Creation date
10/31/2018 10:11:54 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
BILLING
RECORD_ID
PR0513717
PE
2220
FACILITY_ID
FA0002111
FACILITY_NAME
BEN HOLT SHELL
STREET_NUMBER
3011
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95219
APN
10018010
CURRENT_STATUS
02
SITE_LOCATION
3011 W BENJAMIN HOLT DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\B\BENJAMIN HOLT\3011\PR0513717\BILLING\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
8/9/2013 8:00:00 AM
QuestysRecordID
2034665
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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SAN JOAQUIN COUNTP ENVIRONMENTAL.HFALTH DEPARTMENT <br /> 304 P Web,Ave-,Third Floor a Stockton,CA 95202 2708 Picone(209)468-3420 <br /> Donna Hcran,REH.S-,Director <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Pcrmit <br /> Valid <br /> Program Permit Program Code and Description <br /> Record to Number 111/2002 To 12131/2002 <br /> PR051371 PT0009912 2220.SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY <br /> Hazardous Waste Generator Program: ------------------------ <br /> 20 <br /> _ _ <br /> California Health and Sa_felt'Code Div_20,Chap_6.5:Art.-2-13 Sec_25100 et sj q%and Title 22 California Code of Regulations.--'/1 2002 To 12/31/2002 <br /> PR023188 2300-UNDERGROUND STORAGE TANK FACILITY <br /> Underground Storage Tank Program: <br /> California Health and Safety Cotte Div 20 Chap 6 7 and Title 23 Callfomla Code of Re ulaBpC 3aContentsants System type teak Detection <br /> P/E Tank# Tank Record ID Permit F L,apa y DOUBLE WALLED coma uous 1 t <br /> PREMIUM UNLEADED Achve billable Monitoring <br /> 2360 8 390002318830505960 PT0008827 15,000 <br /> DOUBLE WALLED Continuous Interstitial Monuodng <br /> 2360 7 390002318830505959 PT0008826 15,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial <br /> 2362 5 390002318830188305 PT0004931 550 <br /> Active,billable Monitodng <br /> Underground Storage Tank PermitConditions <br /> 1) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid and/or the Um <br /> ST systes)fails to remain in compliance with these Permit Conditions. <br /> 2) In order to maintain the operating pem"t,the owner and operator 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 any <br /> corditlons established by San Joaquin County. <br /> 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 shall ensure at <br /> both the Tank Owner and lank 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 co�idererd UST Perrot Conditions. The <br /> approved monitoring,response,and plot plans shall be maintained onsite with the permit. <br /> 5) The Pemottee shall comply with the monitoring Procedures referenced to this pemoL <br /> 6) The Penmirtee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently if specified by the equipment manufacturer, <br /> and provide documentation of such servicing to this office. roved Emergency Re me <br /> 7) In the event of a spill,leak,or other unauthorized release,the Pennine shall comply with the r uiremenls of Title 23 CCA Chap.16,Art 5,and the approved Y No <br /> Plan. <br /> the operator and be available for inspection for a period of at least three years from the date the monitoring <br /> 8) Written records of all monitoring performed shall be maintained on-site by <br /> was performed. <br /> 9) The EfID shall be notified of any change in ownership or operation of the UST system within 30 days of 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 m review,modification or <br /> revocation. <br /> 11) Construction,repair and/or removal permits are required from the EHD prior to any change,repair or rarm st of UST system egdpmrnL <br /> 12) The Permittee shall submit an annual report documenting compliance with theUST Permit Conditions within 30 days of the anniversary date of the issuance of this permit. <br /> 13) This Persil 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 dates) 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 LLC <br /> Tank Owner: SHELL OIL CO INC <br /> THIS FOAM MUST BE DISPLAYED CONSPICUOUSLY ON <br /> TEE <br /> PREMISES <br /> Facility ID FA0002111 <br /> Regulated Facility: SHELL SERVICE STA* Account ID AR0003362 <br /> 3011 W BENJAMIN HOLT DR Issued 3/29/2002 <br /> STOCKTON. CA 95219 <br /> Billing Address: ATTN ; BENJAMIN HOLT SHELL <br /> SHELL SERVICE STA' <br /> 3011 W BENJAMIN HOLT DR <br /> STOCKTON, CA 95219 <br /> 7023.rpt <br />
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