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SAN JOAQUIN COUNTY PUBLIC HEALTH St�.VICES <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 /> Pmgmm Permit Permit <br /> Record lD Number Program Code and Description Valid <br /> PRO513717 PT0009912 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/01 To 12131/01 <br /> Hazardous Waste Generator Program: <br /> California Health and Safety Code Div_20,Chai).- n_2-13 Sec.2510 <br /> 6.5,A0 et seq,and Title 22 Califomia Code of Regulations,Chap.20_ _ ___.___ <br /> PR0231883 2300-UNDERGROUND STORAGE TANK FACILITY <br /> --------------- -- 1/1/01 To 12131101 <br /> Underoround Storage Tank Program: <br /> California Health and Safety Code Div.20,Chap_6.7 and Title 23 Califomia Code of Regulations Chap_16--------- ------------------------ <br /> PIE Tank# Tank Record ID Permit# CapacityContents Permit Status System Type Leak Detection <br /> 2360 8 390002318830505960 PT0008827 15,000 PREMIUM UNLEADED Active DOUBLE WALLED AUTOMATIC TANK GLADE <br /> 2360 7 390002318830505959 PT0008826 15,000 REGULAR UNLEADED Active DOUBLE WALLED AUTOMATIC TANK GLADE <br /> 2362 5 390002318830188305 PT0004931 550 WASTE OIL Active <br /> Underground Storage Tank Permit Conditions <br /> I) The Permit to Operate wig become void if Annual Permit Fees and Service Fees are not paid and/or the UST system(s)fails to remain in compliance with these Permit <br /> Conditions. <br /> 2) In order to maintain the operating permit,the permit holder shall comply with the H&S Code,Div.20,Chap.6.7 an it 6.75;and CCR,Title 23,Chap.16 and 18,as wen as <br /> any mndi6ons established by San Joaquin County. <br /> 3) If the Tank Operator(s)is it iffaent from the Tank Owner,or if the Permit to Operate is issued to a person other than the owner or operator of the tank,th a Permittee shah <br /> ensure that both the Tank Owner and tank Operator receive a copy of the perm[. <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 UST site. <br /> 5) The Pennittee 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 ofce. <br /> 7) In the event of a spill,leak,or other unauthorized release,the Permite shag comply with the requirements of T[le 23 CCR,Chap. 16,Art 5,and the approved Emergency <br /> Response Plan. <br /> g) Written records of all monitoring performed shag be maintained on-site by the operalorand be available for inspection fora period of at least three years from 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 ofthe UST system(including change in tank contents or usage),the Permit to Operate will be subject In review, <br /> modification or revocation. <br /> I l) 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 with the UST Permit Conditions within 30 days of the anniversary date ofthe issuance of this permit. <br /> 13) This Permit to Operate shalt 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 CO INC <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Facility ID FA0002111 <br /> Regulated Facility: SHELL SERVICE STA' Account ID AR0003362 <br /> 3011 W BENJAMIN HOLT DR Issued 3129/2001 <br /> STOCKTON. CA 95219 <br /> Billing Address: ATTN : BENJAMIN HOLT SHELL <br /> SHELL SERVICE STA' <br /> 3011 W BENJAMIN HOLT DR <br /> STOCKTON, CA 95219 <br /> 7023.rpt ` 1 <br />