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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 Heron,REH.S.,Director
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Permit
<br /> Program PermitValid
<br /> Record m Number Program Code and Description
<br /> PR0513717 /70009912 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 117/2004 To 12/31/2004
<br /> Hazardous Waste Generator Program:
<br /> In order to maintain the permit to operate,Hazardous Waste Generators shall comply With California Health and Safety Code,Div.20,Chap.6.5,Art.2-13,
<br /> Sec.25100 et seq,and Title 22,California Code of Regulations,Chap ----------------------------------- -------------------------------------- ----------_---------------
<br /> PR0231883 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2004 To 12/31/1004
<br /> Underground Storage Tank Program:
<br /> California Health and Safety Code,Div.2Q Chap,-- and Title 23,California Code of Regulations,Chap_16, -_-_.----__-___.
<br /> P/E Tank# Tank Record to Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2360 8 390002318830505960 /70008827 15,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Inteistruin Monitoring
<br /> REGULAR UNLEADED ACtiVe,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2362 5 390002318830188305 /7T00044931931 000 550
<br /> 2360 7 390002318830505959 P 15,000 Active,billable DOUBLE WALLED Commucus Interstitial Manitodng
<br /> BIDE ID#-. 44-000074
<br /> Underground Storage Tank Permit Conditions
<br /> 1) The Permit to Opemte will become void if Annual Penni/Fees and Service Fees are not paid and/or the UST system(s)fails to/--main in compliance with these Permit Conditions.
<br /> 2) In order to maintain the operating permit,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 is,as well as any conditions
<br /> established by San Joaquin County.
<br /> 3) If the Tank Opemtor(s)is different from the Tank Owri m.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 Environmental Health Department(EHD)and are comidererd UST Pemrit Conditions. The approved
<br /> monitoring,response,and plot plans shall be maintained onsite with the permit.
<br /> 5) The Pemdttee shall comply with the monitoring procedures referenced in this pemdt.
<br /> 6) The Perminee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more cequendy 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 Pennitee shall comply with the requirements of Title 23 CCR Chap.16.Art 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 ratified 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 to review.modification or
<br /> 11) MARN01n,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment
<br /> 12) The Pemtittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the date of the issuance of this perrrdL
<br /> 13) This Permit to Operate shall not be considered permission to violate any laws,ordinances or statutes of any other Federal,Stare a Local agency.
<br /> 14) A"Conditional"Permit maybe revoked if conectiom specified on the inspection report are not completed by the dates) irc�nted
<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 FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> FacilityID FA0002111
<br /> Regulated Facility. SHELL SERVICE STA' Account ID AR0003362
<br /> 3011 W BENJAMIN HOLT DR sued 4/112004
<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
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