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SAN JOAQQIN COUNTY PUBLIC HEALTH S*dVICES <br /> 304 E.WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 • PHONE(209)468-3420 <br /> KAREN FORST, M.D., M.P.H., HEALTH OFFICER <br /> DONNA HERRN,R.E.H.S.,DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Program Permit Permit <br /> Record 11) Number Program Code and Descriptio Valid <br /> PRO507083 PT0009204 2227-HAZARDOUS WASTE GENERATOR FACILITY 111/01 To 12131101 <br /> Hazardous Waste Generator Program: <br /> California He_a_lt_h and Safety Code Div_20,Chap_6.5,Art.-2--13 Sec.25100 et seq,and Title 22 California-Code-of Regulations,Chap.20_ ___ _ <br /> PR02314'IB 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/01 To 12/31/01 <br /> Underground Storage Tank Program: <br /> California Health and Safety Code Div,20,Chap: 7 6. and Title 23 Califomia Code of Regt lations Chap_16_-___ ___ _________________ <br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection <br /> 2362 5 390002314180505754 PT0008283 12,000 REGULAR UNLEADED Active DOUBLE WALLED INTERSTITAL MONITOR <br /> 2360 6 390002314180505755 PT0008282 12,000 MIDGRADE UNLEADED Active DOUBLEWALLED INTERSTrTAL MONITOR <br /> 2360 7 390002314180505756 PT0008281 12,000 PREMIUM UNLEADED Active DOUBLE WALLED INTERSTITAL MONITOR <br /> Underground Storage Tank Permit Conditions <br /> I) The Parit to Operate will become void if Annual Per mit Fees and Service Fees are not paid and/or the UST system(s)fails to remain in compliance with these Permit <br /> Conditions. <br /> 2) In order to maintain the operating permit,the permit holder 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 ss <br /> any conditions established by San Joaquin County. <br /> 3) If the Tank Operator(s)is dgfaent 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 shag <br /> ensure that both the Tank Owner and tank Operator receive a copy of the permit. <br /> 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Division(PHS/EHD)and are considered UST Permit <br /> Conditions. Copies of the Procedures and Emergency Response Plan must be attached to this permit or be available for review and/or inspection at the UST site. <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 frequentlyif specified bythe equipment <br /> manufacturer,and provide documentation ofsuch servicing to this office. <br /> 7) In the event of a spill, leak,or other unauthmia:drelease,the Permitae shall complywith the requirements of Tile 23 CCR,Chap.16,Art.5,andthe approved Emergency <br /> Response Plan. <br /> 8) Written records of all monitoring performed shall be maintainedon-site by the operatorand be available for inspection fora period of at least three)ears from the date the <br /> monitoring was performed. <br /> 9) The PHS/EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change. <br /> 10) Upon any change in equipment,design or operation ofthe UST system(including change in tank contents or usage),the Permit to Operate will be subject In review, <br /> modifiation or revoation. <br /> 11) Construction,repair and/or removal permits are required from the PHS/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 USr Permit Conditions within 30 days of the anniversary date of the issuance of this permit. <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. <br /> 14) A"Conditional"Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) 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 /> 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 312912001 <br /> Billing Address: ATTN : PERMIT DESK <br /> CHEVRON USA INC#98264' <br /> PO BOX 6004 <br /> SAN RAMON, CA 94583 <br /> 7023.rpt <br />