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2200 - Hazardous Waste Program
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PR0507083
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BILLING
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Entry Properties
Last modified
12/5/2024 2:42:08 PM
Creation date
11/1/2018 6:01:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
BILLING
RECORD_ID
PR0507083
PE
2220
FACILITY_ID
FA0003715
FACILITY_NAME
Tracy Blvd Chevron
STREET_NUMBER
3775
Direction
N
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
3775 N TRACY BLVD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\T\TRACY\3775\PR0507083\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
9/13/2016 9:40:17 PM
QuestysRecordID
3097223
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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SAN JO*bN COUNTY PUBLIC HEALTH VICES <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 HERAN,R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH COPY <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> _ emu[ <br /> Recd ID Number Program Code and Description Valid <br /> PRO50708 PT0009204 2227-HAZARDOUS WASTE GENERATOR FACILITY 1/1/00 To 12/31100 <br /> Hazardous Waste Generator Program: <br /> California Health 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 /> PR023141 2300-UNDERGROUND STORAGE TANK FACILITY 111100 To 12131/00 <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 /> --- - - -- - - - - - ------ - - - - - - ----— <br /> an - - - - - - - <br /> Fit <br /> a e or eIT -- ap cry oremit u y m ype I-CaIC 1JCLCuLwn <br /> Active <br /> 2360 6 390002314180505755 PT0008282 12,000 UNLEADED Active DOUBLEWALLED INVENTORY RECIMANUAL <br /> 2360 7 390002314180505756 PT0008281 12,000 UNLEADED Active DOUBLE WALLED INVENTORY RECIMANUAL <br /> BOE ID#: 44-031913: '• <br /> Underground Storage Tank Permit Conditions <br /> 1) The Permit to Operate wil I become void if Annual Permit Fees and Service Fees are not paid and/or the UST system(s)fails to remain in compliance with <br /> these Permit Conditions. ' <br /> 2) In order to maintain the operatingpermit,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 <br /> 18,as well as any conditions established by San Joaquin County. <br /> 3) Ifthe Tank Operamr(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 <br /> Permittee shall 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 app'oved by the Environmental Health Division(PHS/EHD)and are considerer) <br /> UST Pemrit Condrtlons. Copies of the Procedures and Emergency Response Plan most be attached to this permit or be available for review and/or inspection <br /> 5) `th�11''ST 5rte. <br /> ttc relfnlree shall comply with the monitoring procedures referrenced in this permit. <br /> 6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently ifspecified by the <br /> equipment manufacturer,and provide documentation of such servicing to this office. <br /> 7) In thcevent ofa spill,leak,orotherumuthorized release,the Pennine shallcomplywilh therequirements of Title23 CCR Chap. 16,Art.5,andthe <br /> 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 fora period of at least three years <br /> from the date the 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 oroperstion ofthe USTsystem(including change in tankcmtents or usage),the Permit to Opcmte will be subjectto <br /> review,modification or revocation. <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 UST Permit Conditions within 30 days of the anniversary date of the issuance <br /> of this perm it. <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 /> r <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 9/28/2000 <br /> Billing Address: ATTN : PERMIT DESK <br /> CHEVRON USA INC#98264' <br /> PO BOX 6004 <br /> SAN RAMON, CA 94583 <br /> 7023.Ipt <br />
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