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ti SAN JOWIN COUNTY PUBLIC HEALTH AtVICES <br /> 304 E.WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 • PHONE(209)468-3420 <br /> KAREN FURST,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 <br /> OPERATE PROGRAM AGENCY <br /> PERMIT <br /> Permit <br /> program permit <br /> Record 11) Number Program Code and DescriptionTo <br /> 11 111101 To 12!31101 <br /> PRO514134 PT0010337 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY <br /> Ha ardous Waste Generator Program:_ _ _ <br /> California Health and Safety Code Div_20,Chap_6.5,Art- ---Sec.25100 et seq,and TiOe 22 California Code of Regulations;Chap.;1101 To 12/31101 <br /> PR0232482 2300 UNDERGROUND STORAGE TANK FACILITY <br /> Underground Storage Tank Program_ _______------------- <br /> e <br /> California Health and Safety Code Div_20,Chap_6.7 and Title 23 California Code of Regulahp�C it Status System Type <br /> ek Detecuon <br /> P/E Tank# Tank Record lD Permit# t,apa U y Contents UNLEADED AoUve DOUBLE WALLED INVENTORY MA <br /> 2360 3 390002324820248203 PT0004326 12,000 UNLEADED Active DOUBLEWALLED INVENTORY REC/MANUAL <br /> 2360 2 390002324820248202 PT0004325 12,000 OTHER Active DOUBLEWALLED INVENTORY REGMANUAL <br /> 2362 1 390002324820248201 PT0004324 12,000 <br /> 130E ID,f 44-03191= <br /> Underground Storage Tank Permit Conditions <br /> ice Fees arenot paid and/orthe UST system(s)fails to remain in compliance withthese Permit <br /> 1) The permit to Operate will become void if Annual Permit Fees and Sery <br /> Conditions. <br /> 2) n order n maintain the operafvig 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 13,as we as <br /> any conditions established by San Joaquin County. <br /> 3) if the Tank Operators)is different from the Tank Owner,or if the permit to Operate is issued to a person other than the own,or operator of the tank.01 Permittee she <br /> ll <br /> ensure that both the Tank Owner and tank Operator receive a copy of the permit. _ I Health <br /> 4) CWritten onditions. <br /> nCopies of the Proeedures and Emergency sResponponse se Plaan n must be attat be app ched ed m this by the vpermit or be available for rreview and/or inspection at theaUSf serd ite Permit <br /> 5) The Permittee shall comply with the monitoring procedures refinemced in this permit. <br /> 6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring eq <br /> uiprent annually,or more frequentlyif specified by the equipment <br /> manufacturer,and provide documentation of such servicingto this office <br /> 7) m the event of a spill,leak,or other unauthorized release,the Permitoe she➢complywith the requirements of Title 23 CCR,Chap.16,Art.5,and the approve mergency <br /> Response Plan. <br /> S) Written records of all monitoring performed shall be maintained on-site by the operstorand be available for inspection fora period of at least three years 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 of the UST system(including change in tankcontents or usage),the Permit to Operate will be subject to review, <br /> modification or revocation. air or removal of UST system equipment. <br /> 11) Construction,repair and/or removal permits are required from the PHS/EHD prior to any change,rep <br /> 12) The Purnittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the anniversary date of the issuance ofthis permit. <br /> 13) This Permit to Operate shall not be considered pemdssion 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 repot 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 <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Facility ID FA0003719 <br /> Regulated Facility: CHEVRON STATION#200764' Account ID AR0003298 <br /> 4747 WEST LN Issued 312912001 <br /> STOCKTON. CA 95210 <br /> Billing Address: ATTN : PERMIT DESK <br /> CHEVRON PRODUCTS USA <br /> PO BOX 6004 <br /> SAN RAMON, CA 94583 <br /> 7023.rp1 <br />