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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.Weber Ave.,Third Floor • Stockton,CA 95202-2708 • Phone(209)468-3420 <br /> Donna Herm,RE.H-S.,Director <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTI'CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Program Perm <br /> Record ID Numbit Pros- Code and Description Peanut <br /> Valid <br /> PRO514378 PT001 1 2220- MALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2004 To 12/31/2004 <br /> Hazardous Waste <br /> 0- <br /> Gen <br /> for Pro re <br /> In order to maintain the pe it to op ate,Hazardous Waste Generators shall comply with California Health and Safety Code,Div.20,Chap.6.5,Art.2-13, <br /> Sec.25100 et seg:and Title 'to <br /> Code of Regulations,Cnap.20,__ _ <br /> PR0231906 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2004 To 12/31/2004 <br /> Underaround Storage Tank Program: <br /> California Health and Safety Code:Div.20,Chap.6.7 and Title 23. California Code of Regulations,Chap. 16. <br /> P/E Tank Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection <br /> 2360 12 390002319060508231 PT0009614 6.000 PREMIUM UNLEADED Conditional DOUBLE WALLED Cs:%cus Interstitial Monitoring <br /> 2360 13 390002319060508232 PT0009613 10.000 REGULAR UNLEADED Conditional DOUBLE WALLED Cs:-,hoses Interstitial Monitoring <br /> 2360 14 390002319060508233 PT0009612 8.000 MIDGRADE UNLEADED Conditional DOUBLE WALLED Cs:-_ous Interstitial Monitoring <br /> 2360 11 390002319060508230 PT0009611 7,000 MIDGRADE UNLEADED Conditional DOUBLE WALLED Cx:%ous Interstitial Monitoring <br /> 2362 5 390002319060190605 PT0004748 550 Conditional DOUBLE WALLED Cx%ous Interstitial Monitoring <br /> BOE ID#:,44-000074 <br /> Underground Storage Tank Permit Conditions <br /> 11 The Permit to Operate will become void if Annual Permit Fees ant Senice Fees are not paid and/or the UST system(s)fails to remain in compliance with drx Peciit Conditions. <br /> 2) In order to maintain the operating permit,the owner and operator shat:omph,-ith the H&S Code,Div.20,Chap.6.7 and 6.75;and CCR,Title 23.Chap.16 and 1 i as--ell as any conditions <br /> established by San Joaquin County. <br /> 3) If the Tank Operator(s)is different from the Tank Owner,or if the Permit rc Operate is issued to a person other than the owner or operator of the tank,the Per-..irr.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 mu z be apM%ed by the Environmental Health Department(EHD)and are considererd UST Permit Conditions. The approved <br /> monitoring,response,and plot plans shall be maintained onsite with tt<perrtit <br /> 5) The Pemunee shall comply with the monitoring procedures reference- n this cc-mit <br /> 6) The Permittee shall perform testing and preventive maintenance or. I lea,detection monitoring equipment annually,or more frequently if specified by the equpr-_ent 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 Permi=sha:comply with the requirements of Title 23 CCR,Chap.16,Am 5,and the aporocu Emergency Response Plan. <br /> 8) Written records of all monitoring performed shall be maintained oo-site by zie operator and be available for inspection for a period of at least three years from its date the monitoring was <br /> performed <br /> 9) The EHD shall be notified of any change in ownership or operation of 3e UST system within 30 days of such change. <br /> 10) Upon any change in equipment,design or operation of the UST syvem(inc:uding change in tank contents or usage),the Permit to Operate will be subject to review,modification or <br /> 11) CSYfffif8t4fbn,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment <br /> 12) The Pemdnee shall submit an annual report documenting compliance+itb the CST Permit Conditions within 30 days of the date of the issuance of this permit <br /> 13) This Permit to Operate shall not be considered permission to violate any law&ordinances or statutes of any other Federal,State or Local agency. <br /> .14) A"Conditional'Permit maybe revoked if corrections specified on the irts-sction report are not completed by the clarets) 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 PRODUCTS <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility TOKAY SHELL* Facility ID FA0003776 <br /> 420 W KETTLEMAN LN Account ID AR0003356 <br /> LODI, CA 95240 lsspea 41112004 <br /> Silting Address: <br /> TOKAY SHELL* <br /> 420 W KETTLEMAN LN <br /> LODI, CA 95240 <br /> 7023 rpt <br />