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<br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 304 E.Weber Ave.,Third Floor a Sto&on,CA 95202-2708•Phone(209)468-3420
<br /> Donna Heran,REH-S.,Director
<br /> MNMENTALHE T
<br /> SAN JOAQU DPROGRAM
<br /> ENCY
<br /> PERMIT TO OPERATE
<br /> Permit
<br /> Valid
<br /> Program Permit
<br /> Record ID Number Program Code and Description
<br /> 2220 L QUANTITY HAZARDOUS WASTE GENERATOR FACILITY
<br /> 1/1/2003 To 12/31/2003
<br /> PRO513717 PT0009912 -SMAL
<br /> Hazardous Waste Generator Program:
<br /> __.
<br /> Califomia Health and Safety_ Code,Div,20,Chap:6S,Art.2d 3,Sec,25100 et s.qt-----TiOe 22,Califomia Code of R -----
<br /> 1/1!2003 To 11213112003
<br /> PR0231883 2300-UNDERGROUND STORAGE TANK FACILITY
<br /> Underground Storage Tank Program:
<br /> Califomia Health and Safety Code,Div.20,Chap_6.7 and TiOe 23,Califomia Code of Regulations,Chap,16_ -___-__--_-__-._--_-------------_-_------------------
<br /> -_----- - Permit Status System Type Leak Detection
<br /> PIE Tank# Tank Record ID Permit# L,apa y DOUBLE WALLED Cams —overruns,I M ng
<br /> PREMIUM UNLEADED Active billable
<br /> 2360 8 390002318830505960 PT0008827 15,000 REGULAR UNLEADED Active,billable DOUBLE WALLED can6 Interstitial hbn t ng
<br /> 2360 7 390002318830505959 PT0008826 15,000 Active,billable DOUBLE WALLED Camtinums Interstitial Monitoring
<br /> 2362 5 390002318830188305 PT0004931 550
<br /> 801="Ib�: d000Yd_
<br /> Underground Storage Tank Permit Conditions
<br /> 1) The Permit to Operate will become void if Annual remit Fees and Service Fees are not paid and/or the UST systeme 23,Chap.16 and 18,a s)fails to remain in compliance with these well
<br /> as any conditions
<br /> Permit Conditions.
<br /> 2) In order to maintain the operating pemdL the owner and operator shall comply with the H&S Code,Div.20,Chap'6.7 and 6.75;and CCR Titlaz wweb
<br /> established by San Joaquin County.
<br /> 3) If the Tank Operators)is different from the Tank Owner,or if the petit 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 petit.
<br /> 4) Written Monitoring Procedures and an Emergency Response Plan most be approved by the En.
<br /> vonmental Health Department EHD)and are considererd UST Pemdt Conditions. The approved
<br /> monitoring,response,and plot plans shall be maintained onsite with the pemriL
<br /> 5) The Pennines shall comply with tbe monitoring procedures refererced in this permit
<br /> 6) The pemiace shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently if specified by the equipment manufacturer,and
<br /> provide dm mentation of such servicing to this office. 16,An.5,and the approved Emergency Response Plan.
<br /> 7) In the event of a spill,leak,or other mauthorimd release,the Pemitee shall comply with the require menB of Title 23 CCR,Chap.
<br /> g) 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 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 to review,modification or
<br /> 11) tedM'd6t416m,repair and/or rermval penrtits are required from the EHD prior to any change,repair or removal of UST system equipment
<br /> 12) The Permittee this
<br /> I submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the anniversary date of the issuance of this permit
<br /> D) This Permit to Operate shall not be considered permission to violate any laws,ordinances of statutes of any other Federal,State or Local agency.
<br /> 14) A"Conditional"remit maybe revoked if corrections specified on the inspection report m,not completed by the dates) indicated.
<br /> PERMTTS 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 FORK JIUST BE DISPLAYED CONSPICUOUSLY ON THE PREh11SF.S
<br /> Facility ID FA0002111
<br /> Regulated Facility. SHELL SERVICE STA* Account ID AR0003362
<br /> 3011 W BENJAMIN HOLT DR Issued 511/2003
<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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