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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.Weber Ave.,Third Floor•Srodmon,CA 95202-2708• Phone(209)468-3420 <br /> Donna Heran,RE.H.S.,Difector <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Program Permit Permit <br /> Record m Number Program Code and Description Valid <br /> PRO521865 PT0014773 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2005 To 12/31/2005 <br /> Hazardous Waste Generator Program: <br /> In order to 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 /> Sec.25100 et seq,_and Title 22�California Code of Regulations,Chap,20.---_____________-_-------_--------------_--------------__---. _-_--____-- <br /> PR0518458 - 2300-UNDERGROUND STORAGE TANK FACILITY 1/112005 To 12/3112005 <br /> Underground Storage Tank Progrehl: <br /> �aliforilia_Health_and Safety Code, Div.20,Chap.6.7 and Title 23,Califomia Code of Regulations,Chap,16._ ___--.--_ <br /> P Tank# Tank Record ED Permit# Capacity Contents Permit Status System Type Irak Detection <br /> 2362 1 390005184580515640 PT0012035 20,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous interstitial Monitoring <br /> 2360 2 390005184580515641 PT0012036 15,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> Underground Storage Tank Permit Conditions <br /> 1) The Permit to Operate will become void if Annual Permit Fees and Service Fees we not paid and/or the UST system(s)fails to remain in compliance with them Permit Conditions. <br /> 2) In order to maintain the operating permit,the owner and operator shall comply with the H&S Code,Div.20,Chap.6.7 and 6.75;and CCR,Title 23,Chap.16 and 18,as well many conditions <br /> established by San Joaquin County. <br /> 3) If the Tank Operator(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 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 most be approved by the Environmental Health Department(EM)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 the monitoring procedures referenced in this permit. <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 of such servicing to this office. <br /> 7) In the event of a spill,leak,or other unauthorized release,the Permitee shall comply with the requirements of Title 23 CCR Chap.16,Art 5,and the 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 three years from the date the monitoring was <br /> performed <br /> 9) The 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 tank contents or usage),the Permit to Operate will be subject to review,modification or <br /> revocation. <br /> 11) Construction,repair and/or removal permits are required from the EHD prior to my 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 date of the issuance of this pemdt. <br /> 13) This Permit to Operate shag 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 STATIONS, INC <br /> Tank Owner. CHEVRON STATIONS INC <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: CHEVRON STATION#210997* Facility ID FA0013918 <br /> 1442 COLONY DR Account ID AR0023494 <br /> RIPON CA 95336 Issued 4/29/2005 <br /> Billing Address: ATTN : BUSINESS LICENSE & PERMITS <br /> CHEVRON STATION #210997* <br /> PO BOX 6004 /L2375—B3 <br /> SAN RAMON CA 94583-0904 <br /> 7023.rpt <br />