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SAN JOANOrUIN COUNTY PUBLIC HEALTH SbrfVICES 304 E.WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 • PHONE(209)468-3420 KAREN FURST,M.D., M.P.H., HEALTH OFFICER DONNA HERAN,R.E.H.S.,DIRECTOR ENVIRONMENTAL HEALTH DIVISION ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE eTom Valid rogram error Program Code and Description Record lD Number og 111100 To 12131100 PRO51371 PT0009912 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY Hazardous Waste Generator Program: California Health and Safety Code Div.20,Chap.6.5,Art.2-13 Sec.25100 at seq,and Title 22 California Code of Regulations,Chap_20.100 To 11- ----- ----0 0R023188 - �2300-UNDERGROUND STORAGE TANK FACILITY Underground Storage Tank Program: California Health and Safety Code Div.20,Chap.6.7 and Title 23 Cali- - tarn ode of Regulatioens.Chaa us ys m ype R rve DOUBLE WALLED AUTOMATIC TANK GUAGE 2360 7 390002318830505959 PT0008826 15,000 REGULAR S LLEADED OILActive Active 2360 5 390002318830188305 PT0004931 550 Underground Storage Tank Permit Conditions to emain in iance with 1) The permit to operate will become void if Annual Permit Fees and Service Fees are not paid and/or the UST system(s)fallsdrCCR Titl23,IChap. 16 and these Pemlit Conditions . 2) In orderto maintain the operating permit,the permit holder shall comply with the H&S Code,Div.20,Chap.6.7 and 6.75; 18,as well asanyconditions est Mished by San Joaquin Counry. 3) IfthcPertniTa t. sh Il ensueirmore)is different the Tank he Tank O tanner,m ifthe rPremit t aOper toopy the perm�o a person other than the owner or operator of the tank,the ner rd 4) Written MT torhIgiP Copies of the Emergency rocedures and Emergency Response Plan must be athe ttached toethislpermit or Division e aaitable or rreeview and and/or inspection UST 5) J11E$PATtgeihall comply with the monitoring procedures referrenced in this permit. 6) The,Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently if specified by the equipment manufacturer,and provide documentation of such servicing to this office. and the 7) In the event of a spill, or other unauthorized release,the Pernitee shall comply with the requirements of Title 23 CCR Chap. 16,Art.5, approved Emergency Response Plan. 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 performed. i 9) The PHS/EHD shall be notified of any change in ownership or operation ( the UST system within 30 days s such change. 1o) 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 revocation. 11) Construction,repair and/or removal permits are required from the PHS/EHD prior to any change,repair or removal of UST system equipment. 12) The Permittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the anniversary date of the issuance of this permit 13) This Permit to Operate shall not he considered permission to violate any laws,ordinances or statutes of any other Federal,Stat 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. r PERMITS TO OPERATE are NOT TRANSFERABLE and may be SUSPENDED or REVOKED for cause. PERMIT(s)Valid only for: EQUILON LLC ENTERPRISES Tank Owner: SHELL OIL CO INC THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES Facility ID FA0002111 Regulated Facility: SHELL SERVICE STA" Account lD AR0003362 3011 W BENJAMIN HOLT DR Issued 9/28/2000 STOCKTON, CA 95219 Billing Address: ATTN : BENJAMIN HOLT SHELL SHELL SERVICE STA' 3011 W BENJAMIN HOLT DR STOCKTON, CP ,5219 �.. `.v 7023 rpt