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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 304 E.Weber Ave.,Third Floor•Stockton,CA 95202-2708• Phone(209)468-3420
<br /> Donna Henn,RSH.S.,Director
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> pcnnit
<br /> Program Permit Valid
<br /> Record ID Number Program Code and Description
<br /> PRO514134 PT0010337 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 111/2003 To 12/31/2003
<br /> Hazardous Waste Generator Program:
<br /> California Health and Safety Code:Dlv.20,Chap:6S,Art.2.13,Sec.25100.. seq,and Title 22,Calitomia Code of Regulations,Chap;20_ __________________
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<br /> PR0232482 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2003 To 12/31/2003
<br /> Underground Storage Tank Program:
<br /> California Heallh and Safety Code,Div_20,.Chap.6.7 and Title 23,Califomla Code of Regulations,Chap_16. ............................................................
<br /> PIE Tank# Tank Record ID Permit# Capacity Contents Permit SUNS BL WALLED Continuouas talm�nalOMonnor,
<br /> 2360 3 390002324820248203 PT0004326 12,000 REGULAR UNLEADED Active,billable
<br /> REGULAR UNLEADED Active,billable DOUBLE WALLED continuous Intersinial Moratadng
<br /> 2360 2 390002324820248202 PT00043212,000 DOUBLE WALLED Cantinums Interstitial Monitoring
<br /> 2362 1 390002324820248201 PT0004324 12,000 MIDGRADE UNLEADED Active,billable
<br /> t�oE ,rti3 33
<br /> Underground Storage Tank Permit Conditions
<br /> 1) The Permit to Operate will become void if Annual Permit Fees and Service Feu are not paid and/or the UST systems)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 Cade,Div.20,Chap.6.7 and 6.75;and CCR,Title 23,Chap.16 and 19,as well as any conditions
<br /> established by San Joaquin County.
<br /> 3) Irthe Tank Opermor(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 Lank,the Permittee shall ensure that both
<br /> 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 Emimnmental Health Department(EHD)and are considererd UST Permit Conditions. The approved
<br /> monitoring,response,and plot plans shall be maintained onsite with the permit.
<br /> 5) The Permittee shall comply with he monitoring procedures referenced in this pemdl.
<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 orsuch servicing to this once.
<br /> 7) In the event of spill,leak,or other unauthorized release,the Permime shall comply with the requirements of Title 23 CCR,Chap.16,Art.5,and the approved Emergency Response Plan.
<br /> g) Written retards 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.
<br /> 9) The BUD shall be notified of any change in ownership or operation or 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 of
<br /> I I) CSY&995111sn,repair and/or removal permits are required from the EHD prior to any change.mpair 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 of this permit.
<br /> 13) This Permit to Operate shall not he considered permission to violate any laws,ordinances or statute 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 dates) 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
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> I Facility ID FA0003719
<br /> Regulated Facility. CHEVRON STATION#200764* Account ID
<br /> AR0003298
<br /> 4747 WEST LN
<br /> STOCKTON, CA 95210 ued 51112003
<br /> Billing Address:
<br /> CHEVRON STATION #200764*
<br /> PO BOX 6004
<br /> SAN RAMON, CA 94583
<br /> 7023.rpt
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