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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 304 E.Weber Ave.,Third Floor• Stockton,CA 95202-2708• Phone(209) 468-3420 Donna Heran, RF-H.S., Director ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Permit Program Permit Record ID Number Program Code and Description Valid PR0518811 PT0012224 2220- MALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2004 To 12/31/2004 Hazardous Waste Generator Pro Ira In order to maintain the per 't tFaIrifornia te,Hazardous Waste Generators shall comply Wth California Health and Safety Code, Div.20,Chap.6.5,Art.2-13, Sec.25100 et seg,and Title 2 Code of Regulations,Chap 20_ _- ------ ---_---_______.-__________________________ _ ______-_--..___-.-.---.___._____--__ PR0231223 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2004 To 12/31/2004 Underground Storage Tank Program: California Health and Safety Code, Div.20,Chap.6.7 and Title 23,California Code of Regulations, _ _ ns,Cha _16. __-----_--- --_-__--_- -__--_ _ _ ____________________ ------- ------ ------- -------- - p P/E Tank# Tank Record ID Permit# Capacity Cor...encs Permit Status System Type Leak Detection 2360 6 390002312230122306 PT0006665 12,000 MIDGRADE UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitonrc 2360 5 390002312230122305 PT0006664 12,000 PREIVIUNm UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitonrc ED Active,billable DOUBLE WALLED Continuous Interstitial Monitor 2362 4 390002312230122304 PT0006661 12,000 REGULAR UNLEAD BOE ID#`,44-039026 Underground Storage Tank Permit Conditions 1) The Permit to Operate will become Void if Annual Permit Fees and Scr%ice Fees are not p_:d and or r.e UST system(s)fails to remain in compliance with these Permit Conditions. 2) In order to maintain the operating permit,the owner and operator shall comply with the HSS Cade.Di%.::,.Chap.6.7 and 6.75:and CCR,Title 23,Chap. 16 and 18,as well as any conditions established by San Joaquin County. rmit to Operate is is_ d to a pe-on other than the owner or operator of the tank,the Permittee shall ensure that both 3) If the Tank Operator(s)is different from the Tank Owner,or if the Pe the Tank Owner and tank Operator receive a copy of the permit. 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Er••:ronrrene:Health Department(EHD)and are considererd LIST Permit Conditions. The approved monitoring,response,and plot plans shall be maintained onsite with the permit. 5) The Permittee shall comply with the monitoring procedures referenced in this pernit. 6) The Permittee shall perform testing and preventive maintenance on all leak detection mor.::oring equipment annually.or more frequently ifspecified by the zquipment manufacturer•and provide documentation of such senicing to this office. e shall comply with^z requir^_mints of Title 23 CCR Chap.16.Art.5,and the approved Emergency Response Plan 7) In the event of a spill,leak,or other unauthorized release,the Permite 8) Written records of all monitoring performed shall be maintained on-site by the operator and be amailable for inspection for a period of at least three years from the date the monitoring was performed. 9) The EHD shall be notified of any change in ownership or operation of the UST system within°0 days of such change. 10) Upon any change in equipment,design or operation of the UST system(including change:n tank cor.:ents or usage),the Permit to Operate will be subject to review,modification or 11) (M&%ALg1bn,repair and/or removal permits are required from the 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 w%--hn 30 days of the date of the issuance of this permit. 13) This Permit to Operate shall not be considered permission to violate any laws,ordinances or statutes of any other Federal.State 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. PERMITS TO OPERATE are NOT TRANSFERABLE and may be SUSPENDED or REVOKED for cause. PERMIT(s)Valid only for: SHELL OIL PRODUCTS US Tank Owner: SHELL OIL COMPANY THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES Regulated Facility: MARIGOLD SHELL Facility ID FA0002324 6131 PACIFIC AVE Account ID AR0003361 STOCKTON, CA 95207 Issued 4/1/2004 Billing Address: MARIGOLD SHELL 6131 PACIFIC AVE STOCKTON, CA 95207 7023.rp1