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2200 - Hazardous Waste Program
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PR0514134
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BILLING
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Entry Properties
Last modified
11/2/2020 10:20:16 PM
Creation date
11/2/2018 8:46:35 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
BILLING
RECORD_ID
PR0514134
PE
2220
FACILITY_ID
FA0003719
FACILITY_NAME
WEST LANE CHEVRON
STREET_NUMBER
4747
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
10437010
CURRENT_STATUS
01
SITE_LOCATION
4747 WEST LN
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\W\WEST\4747\PR0514134\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
10/31/2017 10:19:21 PM
QuestysRecordID
3713411
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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SAN JOA IN COUNTY PUBLIC HEALTH IVICES <br /> 304 E.WEBER AVE., HIRD FLOOR • STOCKTON,CA 95202 PIIOI E (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 Coyly <br /> SAN JOAQUIN COUNTY CERTIFIED UNIF <br /> IED PROGRAM AGENCY <br /> PERMIT TOOPERATE <br /> Crmll <br /> rogrmr cnntl Valid <br /> Record ID Nunlher Procrnm Code and Description <br /> PRO51413 PTO 010337 2220-SNIALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY <br /> 111100 To 12131/00 <br /> Hazardous Waste Generator Program: <br /> California Health and Safety Code Div. 20,Chap.6.5,Art.2-13 Sec.25100 at see,and Title 22 California Code of Regulations,Chap.10 100 T8 12131100 <br /> PR023248 2300-UNDERGROUND STORAGE TANK FACILITY <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. s e u. YPe <br /> 92 � all, ,11' CUr <br /> cnml apace Y MI QI s cow a u <br /> c Ire <br /> UNLEADED Active DOUBLE WALLED INVENTORY RECIMANUAL <br /> 2360 2 390002324820248202 PT0004325 12,000 pTHER Active DOUBLE WALLED INVENTORY RECRdANUAL <br /> 2360 1 390002324820248201 PT0004324 12,000 <br /> BOE 1D#:`44.031913" <br /> Underground Storage Tank Permit Conditions <br /> Q the Permit to Operate will become void if Annual Permit Fees and Servicc Fecs are not paid and/or the UST system(s)fails to remain in compliance with <br /> these Permit Conditions. <br /> 2) In orderto maintain the operntingg ppermit,the permit holdershall comply with the bI&S Cod:,Div.20,Chap.6.7 and 6.75;and CCR Title 23,Chap. 16 an <br /> 18,as well as any conditions established by San Joaquin County. <br /> 3) If the Tank O crakm(s)is dilferenl fmm the Tank Owner,or iftluc pearilit to Operate is issued to a person other than the owner D,operator of the tank,the <br /> Permittee shall ensure that both the Tank Owner and lank Operator receive a cpp�py of the permit. and are considercrd <br /> 4) Writ Pen rt Conditions Pro educesCopieof all proc:mcedures and pF.mcrgonsc dncy Respollsan must be c Plan muoved st be alntacbedvironitoct islpermitlorr besavailablc for revlcw and/or inspection <br /> 5) Mth UST site <br /> ile 5'ermdtec 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 the event of a spill,Icak,or other unauthorized release,the Pemritee shall comply with the requirements of Title 23 CCR Chap. 16,Art.5,and the <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 for a period of at least face years <br /> from the date the munimm g was performed. <br /> 9) The PIIS/EI ID shall be notified of any change in ownership or operation of the I1S'f system within 30 days of such change. <br /> 1o) Upon mly change in equipment.resign oroperation of the US,r system(including change in tank contents or usage),the Permit to Operate will be snbjecUo <br /> review,modification or revocation. <br /> 11) Construction,repair find/or removal permits are required from the PfIS/Flip prior to any change,repair or removal of UST system equipment. <br /> 12) The Permittee shall submit an annual report documenting compliance will)the UST Permit Conditions within 30 days ofthe anniversary dateofthe issuance <br /> o f th is 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 <br /> '11115 FORM\1115"I'1St:D151'I,AYF;D CONSPIC000:I i 6; PRI PREMISES <br /> Facility ID FA0003719 <br /> Regulated Facility: CHEVRON STATION #200764* AccountlD AR0003298 <br /> 4747 WEST LN Issued 10/10/2000 <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.rpt <br />
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