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SAN JOAN COUNTY PUBLIC HEALTH SIWICES <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 HERAN,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 Permit Program Code and Description Valid <br /> Record ID Number 1/1101 To 12/31/01 <br /> PROS14378 PT0010581 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY <br /> Hazardous Waste Generator Program: <br /> California Health-and Safety Code Div_20.Chap_6.- Art.2-13 Sec. ----- -- and Title 22 California Code of Regulations,Chap .20_____________ <br /> 1/1/01 To 12131/01 <br /> PR0231906 2300-UNDERGROUND STORAGE TANK FACILITY <br /> Underground Storage Tank Program: <br /> California Health and Safe Code Div,20_Chap,6.7 and Title 23 Califomia Code of Regula0ons Chap_16_________________________________ <br /> --- Tank# Tank Record ID Pemtit# Capacity Contents Pemd[Status System Type Leak Detection <br /> PREMIUM UNLEADED Active DOUBLE WALLED INTERSTITAL MONITOR <br /> 2360 12 390002319060508231 PT0009614 6,000 DOUBLE WALLED INTERSTITAL MONITOR <br /> 2360 13 390002319060508232 PT0009613 10,000 REGULAR UNLEADED Active DoueLE WALLED INTERSTRAL MONITOR <br /> 2360 14 390002319060508233 PT0009612 8,000 MIDGRADE UNLEADED Active OOUBLEWALLED INTERSTITAL MONITOR <br /> 2360 11 390002319060508230 PT0009611 7,000 MIDGRADE UNLEADED Active <br /> 2362 5 390002319060190605 PT0004748 550 NON MVF Active <br /> BOE ID#: ' <br /> Underground Storage Tank Permit Conditions <br /> l) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid and/or the UST sysYm(s)fails to remain in compliance withthese Permit <br /> Conditions. <br /> 2) in order b 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,Cbap.16 and I ll,as we as <br /> any conditions 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 <br /> ensure that both the Tank Owner and tank Operabr 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 permit or be available for review and/or inspection at the USI`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 of such servicing to this office. <br /> 7) In the event of a spill,leak,or other unauthorized release,the Permibe shall comply with the requirements of Tile 23 CCR,Chap.16,Art 5,and the approved Emergency <br /> 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 fiom the date the <br /> monitoring was performed. <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 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 b review, <br /> modification or revocation. <br /> 11) Construction,repair and/or removal permits are required from the PHS/EHD prior to any change,repair or removal of UST system equipment. <br /> 12) The Permittee shall submit an annual report documenting compliance withthe USF Permit Conditions within 30 days of the anniversary date ofthe issuance ofthis 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 COMPANY <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Facility ID FA0003776 <br /> Regulated Facility: TOKAY SHELL* Account ID AR0003356 <br /> 420 W KETTLEMAN LN Issued 3/29/2001 <br /> LODI, CA 95240 <br /> Billing Address: ATTN : SHELL SERVICE STATION <br /> TOKAY SHELL* <br /> 420 W KETTLEMAN LN <br /> LODI, CA 95240 <br /> 7023.rpt <br />