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r � s • SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 304 E.Weber Ave.,Third Floor• Stockton,CA 95202-2708• Phone(209)468-3470 Donna Heran,RF-H.S.,Director ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Permit Program Permit Record ID Number Program Code and Description Valid PRO514378 PT0010581 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2004 To 12/3112004 Hazardous Waste Generator Prooram: In order to maintain the permit to operate,Hazardous Waste Generators shall ccmpiy with California Health and Safety Code, Div.20,Chap.6.5,Art.2-13, Sec,25100 et seg,-and Tide 22,California Code of Regulations,Chap_20- - -------------------------------------------------------------------------------------------------- PR0231906 2300-UNDERGROUND STORAGE TANK FACILITY 1/112004 To 12/31/2004 Underground Storage Tank Program: Califomia Health and Safety Code,Div. Chap.6.7 and Title 23,California Code of Regulations, p:1 Cha6---_------------- _ _ _ _ _ . ___ -_-__-- --- -- . ---------------- P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection 2360 12 390002319050508231 PT0009614 6,000 PREMIUM UNLEADED Conditional DOUBLE WAND Continuous Interstitial Monitoring 2360 13 390002319060508232 PT0009613 10,000 REGULAR UNLEADED Conditional DOUBLE WALLED Continuous Interstitial Monitoring 2360 14 390002319060508233 PT0009612 8,000 MIDGRADE UNLEADED Conditional DOUBLE WALLED Continuous Interstitial Monitoring 2360 11 390002319060508230 PT0009611 7,000 MIDGRADE UNLEADED Conditional DOUBLE WALLED Don4nuous Interstitial Monitoring 2362 5 390002319060190605 PT0004748 550 Conditional DOUBLE WALLED Continuous Interstitial Monitoring aOE ID#x44-000074 Underground Storage Tank Permit Conditions 1) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid odor the UST system(s)fails to remain in compliance with these Permit Conditions. 2) In order to maintain the operating permit,the owner and opemmr shall comply with the H&S CcLe.Div 3?.Chap.6.7 and 6.75;and CCR,Title 23,Chap.16 and 18,as well as any conditions established by San Joaquin County. 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 that both the Tank Owner and tank Operator receive a copy of the permit. 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Em�mrental Health Department(EHD)and are considererd UST Permit Conditions. The approved monitoring,response,and plot plans shall be maintained onsite with the pemdL 5) The Permittee shall comply with the monitoring procedures referenced in this pemvt 6) The Permittee shall perform testing and preventive maintenance on all leak detection moniu:7.n_z equipment annually,or mare frequently if specified by the equipment manufacturer,and provide documentation of such servicing to this office. 7) In the event of a spill,leak,or other unauthorized release,the Penmitm shall comply with the requirements of Title 23 CCR,Chap.16,An.5,and the approved Emergency Response Plan. 8) Written records of all monitoring performed shall be maintained on-site by the operator and m available for inspection for a period of at least three years from the date the monitoring was performed. 9) The EHD 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 tarok contents or usage),the Permit to Operate will be subject to review,modification or 11) LSYrffdk%R,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment 12) The Pemdttee shall submit an annual report documenting compliance with the UST Parrott Conditions within 30 days of the 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 PERMITS TO OPERATE are NOT TRANSFERABLE and may be SUSPENDED or REVOKED for cause. PERMIT(s)Valid only for: SHELL OIL PRODUCTS US Tank Owner: SHELL OIL PRODUCTS THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES Regulated Facility. TOKAY SHELL* Facility ID FA0003776 420 W KETTLEMAN LN Account ID AR0003356 LODI, CA 95240 Issued 4/1/2004 Billing Address: TOKAY SHELL* 420 W KETTLENAN LN LODI, CA 95240 7023.rp1