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SAN JOAQUI*OUNTY ENVIRONMENTAL HEALAEPARTMENT. ,
<br />600 E. Main St. • Stockton, CA 95202-3029 Phone (209) 468-3420
<br />Donna Heran, R.E.H.S., Director
<br />..1.; ENVIRONMENTAL HEAL
<br />SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br />PERMIT TO OPERATE
<br />i� . Program Permit Permit
<br />Record ID Number Program Code and Description
<br />Valid
<br />PRO518406 PT0012004 2220 - SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2010 To 12/31/2010
<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._20_ ________________________________________________________ __ _--_- __
<br />------------------ -----------------------
<br />-' PR0231084 2300 -UNDERGROUND STORAGE TANK FACILITY 1/1/2010 To 12/31/2010
<br />Underground Storage Tank Proal
<br />California Health and Safe ty�e, Div. 20, Chap._6.7_and Title 23, -California Code_of Regulations, Chap.-16--------------------------------------------------------------- --------------------------- - ----------------------- ___________________ --- --------------------------
<br />P/E Tank # Tank Record ID Permit # Capacity Contents Permit Status System Type Leak Detection
<br />2362 5 390002310840108105 PT0004801 12,000 REGULAR UNLEADED Active, billable DOUBLE WALLED Continuous Interstitial Monitoring
<br />2360 6 390002310840108106 PT0004802 12,000 PREMIUM UNLEADED Active, billable DOUBLE WALLED Continuous Interstitial Monitoring
<br />2360 ,7 39000231 840108107 PT0004803 12,000 DIESEL Active, billable DOUBLE WALLED Continuous Interstitial Monitoring
<br />-.... �,i
<br />Under round Stora a Tank Permit Conditions �N
<br />g g �€t t�f .�� _ YJ
<br />>.
<br />1) The Permit to Operate will 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 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 18, as well as any conditions
<br />established by San Joaquin County.
<br />3) If the Tank Operator(s) is different from the Tank Owner, 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 />h e the Tank Owner and tank Operator receive a copy of the permit.
<br />t a ed 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Department (EHD) and are considererd UST Permit Conditions. The approved
<br />i Y monitoring, response, and plot plans shall be maintained onsite with the permit
<br />5) The Permittee shall comply with the monitoring procedures referenced 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 manufacturer, and
<br />provide documentation of such servicing to this office.
<br />aA ;, 7) In the event of a spill, leak, or other unauthorized release, the Permitee 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.
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<br />9) The EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change.';$ a '
<br />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 />t r revocation.
<br />1r G 11) Construction, repair and/or removal permits are required from the EHD prior to any change, repair or removal of UST system equipment.:
<br />ss e 12) The Permittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the date of the issuance of this permit. E1 I„
<br />s.' "I
<br />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.s
<br />9 2
<br />Y P pe po P d by the date(s) indicated nI #
<br />14 A Cogdttional" Pernit ma be [evoked if corrections s ecified on the ins coon re rt are not con tete
<br />4
<br />xk i ai• z'i'x *t"i. Fa a?%,+^ +u
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<br />PERMITS TO OPERATE are NOT TRANSFERABLE a r
<br />and may be SUSPENDED or REVOKED for cause.
<br />rtKivll I ks) vaua only Tor: LU I Z, KUt3I=K I & KA I HY �^kXgrr'
<br />Tank Owner: LUTZ, ROBERT &: KATHY
<br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br />Regulated Facility: SHELL FOOD MART
<br />2320 N EL DORADO
<br />STOCKTON CA 952
<br />Billing Address: ATTN LUTZ, ROBERT &_KATHY
<br />" ` t, SHELL FOOD MART 0, x `` x
<br />r 2320 N EL DORADO ST ��) `,'N
<br />Facility ID FA0006447'
<br />Account 1D AR0008445
<br />issued 2/10/2010
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