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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 304 E.Weber Ave.,-Third Floor•Stodrton,CA 95202-2708• Phone(209)468-3420
<br /> Donna Heran,R F—I S.,Director
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED LNIFTED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Per-= Permit
<br /> Record ID \umker Pr m Code and Description l"alid
<br /> PRO507083 PT0009204 2227 1 HAZARDOUS WASTE GENERATOR FACILITY 1/1/2004 To 12/31/2004
<br /> Hazardous Waste Genera or Pro r
<br /> In order to maintain the pe to orate,Hazardous Waste Generators shall comply with California Health and Safety Code,Div.20,Chap.6.5,Art.2-13,
<br /> Sec.25100_e-t seq,and Tifle 22,Califomia Code of Regulations,Chap_20________
<br /> PR0231418 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2004 To 1213112004
<br /> Underground Storage Tank Program:
<br /> Califomia Health and Safety Code,Div_20,Chap.6.7 and Title 23,California Code of Regulations,Chap,16. .............................-
<br /> P/E Tank= Ta:ik Record ID Permit# Capacity Contents Permit Status System Type Leak Deta�on
<br /> 2362 5 390002314180505754 PT0008283 12,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Inlerse:8 Nkra adrg
<br /> 2360 6 390002314180505755 PT0008282 12,000 MIDGRADE UNLEADED Active,billable DOUBLE WALLED Continuous 1pmnrt,a monitoring
<br /> 2360 7 390002314180505756 PT0008281 12,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous leers:,ei Monitoring
<br /> BOE IDtk."44-031913 - --
<br /> Underground Storage Tank Permit Conditions
<br /> I The Permit to Operste'..ill become void if Annual Permit Fees and Service Fees arc not paid and or the UST system(s)fails to remain in compliance with these Permit Conc inor_s.
<br /> 2) In order to nainuin the perating permit,the owner and operator shall comply with the H&S Code,DF:.20.Chap.6.7 and 6.75;and CCR,Title 23,Chap.16 and 18,as well as any ce:Sdom
<br /> oublisheA N.San J02-In County.
<br /> 3) If the Tank 0peraton:.is different from the Tank Owner,or if the Permit to Operate is issued to a Y, cm other than the owner or operator of the tank,the Permittee shall ensure that both
<br /> the Tank Owner and_A Operator receive a copy of the permit.
<br /> 4) tfritten V oniwring Prcedurcs and an Emergency Response Plan must be approved by the Envimrunenal Health Department(EHD)and are tonsidererd UST Pemtit Condition. The==pm%vd
<br /> monitorineresponse.a-.d plot plans shall be maintained onsite with the permit.
<br /> 5) The Pemtioee:hall cc?ly with the monitoring procedures referenced in this permit.
<br /> 6) The Pentium shall pcorm testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently if specified by the equipment manufecnzer,and
<br /> provide donmunuco-of such servicing to this office.
<br /> 7) N the event of a spilL leak,or other unauthorized release,the Permitee shall comply with the requtrcrcros of Title 23 CCR Chap.16,Art.5,and the approved Emergency Response Plan.
<br /> g) \\"riven record;of a]I 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 noc'_ed of any change in ownership or operation of the UST system within 30 days of such change.
<br /> 10) Upon any change in r,Lpmcm,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) L41ff'd k*m repair an:or removal perdu are required from the EHD prior to any change,repair or reroval of UST system equipment.
<br /> 12) The Pemmme,shall sub,ii an annual report documenting compliance with the UST Permit Conditions within 30 days of the date of the issuance of this pemdt.
<br /> 13) This Permit to Operate shall not be considered permission to violate any laws,ordinances or sutures of any other Federal,State or Local agency.
<br /> 14) A'Comditiowl'Penni: may be revoked if corrections specified on the inspection report are not completed by the clarets) indicated.
<br /> PERMITS TO OPERATE are NOT TRANSFERABLE
<br /> and may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s)Valid only for: CHEVRON PRODUCTS USA
<br /> DBA: CHEVRON STATION
<br /> Tank Owner: CHEVRON USA PRODUCTS CO
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility CHEVRON USA INC#98264 Facility ID FA0003715
<br /> 3775 N TRACY BLVD Account ID AR0003294
<br /> TRACY, CA 95376 Issued 4/1/2004
<br /> Billing Address:
<br /> CHEVRON PRODUCTS USA
<br /> PO BOX 6004
<br /> S=N RAMON, CA 94583
<br /> 7023 not
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