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SANJ0AQLT1 COUNTyENVIRoNInt HEALTH DEPARTMENT
<br /> 304 E Webs Am,Third Floor 0 SBodcton,CA 9$202-2708 0 Phone(209) p
<br /> Donna Henan,R.E.Uss.,TDirector
<br /> SAN JENWRONMEND AL DPH +��`I'i r AGENCY
<br /> Program Permit - PERMIT TO OPERATE �' I7
<br /> 'Record ID Number Program Code and Description
<br /> PNINE;1865 PT0014773 -
<br /> -Hazardous Waste Generator program,MALL OUANTITY HAZgRDOUS WASTE GENE Perrot
<br /> RATOR FACILITY Valid
<br /> In order-- maintain the permit to operate,Hazardous Waste Generators shall comply with.California Health and Safety Code,Div.20,Chap.6.5,Art.2-13,
<br /> Sea 25100 et seq and.T__itle 1/1/2007 To 12/31/2007
<br /> ---'- _ _ lifornia Code of Regulations; Chap.20.
<br /> PR0518458 �2310- NDERGROUND STORAGE TANK FACILITY
<br /> Under round a Ti _
<br /> ' k Pro ram; ------
<br /> Californla Health and Sa - - 12131/2007----
<br /> ---- ------ . - .Code, m.20,Cha -- - 1/ ---- '
<br /> p 6.7 pntl Title 23, California Code of Regulations Cha 18 1/2007 To
<br /> WE Tank# ' -- .
<br /> TankRD - 9__, ._
<br /> Permit# _ nts F'----__ - _
<br /> 2362 1- 390005184580515640 p Czpactty Contents ------ __
<br /> 2360. 2 T0012035 20,000 REGULAR UNLEADED Permit Status ___
<br /> 390005184580515641 PT0072036 15,000 , PREMIUM UNLEADED SYstem Type Leak Detection
<br /> Active, billable oousLE wauED Continuous Interstitial Monitoring
<br /> Underground$tOrage Tank Permit COndif10n5 ACtIVe,billable 'DOUBLE WALLED Continuous Interafjtial Monitoring
<br /> 1) The Permit m Operate operating
<br /> become void if Anneal permit Fees and Service Fees are not paid and/or the UST systems)Coils m remain in compliance with these Permit Conditions,
<br /> 2) In ander ed byto maintain the operating pemut the owner and operator shall comply with fhe H$S Code,Div.20;Chap.established 6.7 and 6.75;and CCR,Title 23,Chap.
<br /> The Tank O Owner,or if P 16 and IS,as well as any conditions
<br /> Owner and took Operator receive a co the Permit to Operate is issued m a
<br /> copy of the permit person other than the owner or operator of the
<br /> 4) Wrimen Monitoring Procedures and an Emergency Response Plan most be 'the Permttee shall ensure that both
<br /> monitoring,response,and plot plans shall be moinmined onsite with the
<br /> approved by the Environmental Health Department(EHD)and are consideverd UST Permit Conditions. The a
<br /> 6) The Permittee shall comply with the monitoringpens¢.
<br /> 6) The Permittee shall a procedures referenced w this permit approved
<br /> Perform testing and preventive maintenance.on all leak detection monitoring' providedocumentation of such servicing to this ot5ce.
<br /> g equ%pment annually,or mono frequently if specified by the equipment manufacture[,and
<br /> 7) In the event of a spill,leak,or other unauthorized releasin the Pernitee shall comply with the requirements of Title 23 CCR,Chap, 16,Art.5,and the approved Emergency Response Plan.
<br /> S) Written records of all monitoring performed shall be maintained on by the operator and be available for inspection fora
<br /> performed.
<br /> 9) The EM shall be notified Of my c period of at least three years from the date the monitoring was
<br /> 10)
<br /> hange in ownership or opemtion,ofthe UST system within 30 days Of such change.
<br /> i0) Upon any change in equip,,
<br /> revocation. nt,design or operation of the UST system(including change in milk contents or usage),the Permit to Operate willbe subject to review,modirlemim,
<br /> 11) Canabuetian,repair and/or removal Permits are required from the EHD prior many change,repair or removal of UST system equipment.
<br /> or
<br /> 12) The Pemanee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the date of the issuance of this permit.
<br /> 13) This Permit to Operate shall not be considered permission to violate any Is",ordinances or statutes of any other Federal,State orLocal agency.
<br /> 14) A"Conditional"Perorit maybe revoked if cm ectious specified on the irepection report are not completed by the Federal,
<br /> tateo r I c
<br /> date(s
<br /> PERMITS TO OPERATE are NOT TRANSFERABLE
<br /> and may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s)Valid only for: CHEVRON STATIONS, INC
<br /> Tank Owner. CHEVRON STATIONS INC
<br /> THIS FORM MUST BE DISPLAYED rnNcnrrnnn�.
<br /> rill,PREMISES
<br /> Regulated Facility: CHEVRON STATION#210997•
<br /> 1442 COLONY DR Facility ID Fg0013918
<br /> RIPON CA 95336 AccoUrtID AR0023494
<br /> Billing Address: ATTNIssued 2/13/2007
<br /> BUSINESS LICENSE & PERMITS
<br /> CHEVRON STATION #210997*
<br /> PO. BOX 6004 /L2375-B3
<br /> SAN' RAMON CA 94583-0904
<br />'023.rpt
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