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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 3041-Weber Ave.,Third Floor•Stockton,CA 95202-2708• Phone(209)468-3420 <br /> Donna Heran,RE.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Program Permit Permit <br /> Record ID Number Program Code and Description Valid <br /> PRO507083 PT0009204 2227-HAZARDOUS WASTE GENERATOR FACILITY 1/1/2003 To 12/31/2003 <br /> Hazardous Waste Generator Program, <br /> Ca -----------------___. ......... ------._.__. ------------------------_ ______ __....... .__ .. ___---- <br /> PR0231418 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2003 To 12/31/2003 <br /> Underground Storage Tank Program: <br /> California Health and Safety Code,Div.20,Chap.6.7 and Title 23,California Code of Regulations,Chap: 16_ <br /> ------- --------. ------. . . —'--------' --- <br /> P/E Tank# Tank Record ID Prnnit# Capacity Contents Permit Status System Type Leak Detection <br /> 2362 5 390002314180505754 PT0008283 12,000 REGULAR UNLEADED Active,billable DOUBLE WALLED CAnfinUWa Interstitial sacni inng <br /> 2360 6 390002314180505755 PT0008282 12,000 MIDGRADE UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial sionderlrq <br /> 2360 7 390002314180505756 PT0008281 12,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial raonredry <br /> BZSE�fD#;�4`4=03 f9[5 � <br /> Underground Storage Tank Permit Conditions <br /> 1) The Permit to Operate will 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 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 at;any conditions <br /> established by San lorquin Courtly. <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 /> the Tank Owner and lank Operator receive a copy of the permit. <br /> 4) Written Monitoring Procedures and an Emergency Response Plan most be approved by the Envirmoramal Health Department(EI11))and are considenerd UST Permit Conditiom. The approved <br /> monitoring.response,and plot plans shall be maintained onsite with the pemdl. <br /> 5) The Perrotme shall comply with the monitoring procedures referenced in this permit. <br /> 6) The Penmiuee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently if specified by the equipment manufaemrer,and <br /> provide documentation of such servicing to this office. <br /> 7) In the event ora spill,leak,or other unauthorized release,the Permime shall comply with the requirements of Title 23 CCR.Chap.16,An.5,and the approved Emergency Response Plan. <br /> 8) Written records oral]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 dale the monitoring was <br /> performed. <br /> 9) The EHD shall be notified of any change in owrership or operation of the UST system within 30 days of such change. <br /> 10) 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 /> 11) Ci7"/drdM.Rlbn,repair and/or removal permits arc required from the 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 dale of the issuance of this permit. <br /> U) This Permit to Operate shall not be considered permission to violate any laws,ordinances or statutes of any other Federal,Stale or rural agency. <br /> 14) A"Conditional"Permit maybe revoked ifcorections specified on the inspection report arc 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 1D AR0003294 <br /> TRACY,CA 95376 Issued 5/1/2003 <br /> Billing Address: <br /> CHEVRON PRODUCTS USA <br /> PO BOX 6004 <br /> SAN RAMON, CA 94583 <br /> 7o23.rp1 <br />