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<br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 304 E.Weber Ave.,Third Floor•Stockton,CA 95202-2708 • Phone(209)468-3420
<br /> Dotma Htran,REH.S., Director
<br /> bCTESAN JOAQRONMENAL H
<br /> FL 1n
<br /> Program PERMIT TO OPERATE
<br /> Rr.
<br /> ENCY
<br /> Record ID Number Program Code and Description
<br /> PR0521865 Permit
<br /> PT0014773 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY Valid
<br /> Hazardous Waste Generator Program, 1/1/2004 To 12/31/2004
<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 Titie 22,Califomia Code of Regulations,Chap.20_
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<br /> PRO518458
<br /> 2300-UNDERGROUND STORAGE TANK FACILITY
<br /> Underground Storage Tank Program: 1/1/2004 To 12!31/2004
<br /> Califomia Health and Safety Code, Div.2Q,Chap.6.7 and Titie 23,CaI'Ifomia Code of Regulations,Chap.-----16.
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<br /> PIE Tank# Tank Record ID Perm t# rapac N Contents
<br /> aou 1 390005184580515641 P..v12036 15000 PR MIUM UNLEADED ara[us System Type
<br /> 2362 1 390005184580515640 PT0012035 20,000 REGULAR UNLEADED Active,bnuduie DOUBLE WALLED
<br /> Underground Storage Tank Permit Conditions Active,billable DOUBLE WALLED Continuous mtc Monuonrg
<br /> 1) The Permit to Operate will become void if Annual Permit Fees and Service Fees a:not paid and/or the USTsyslem(s)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 18,as well as am,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
<br /> the Tank Owner and tank Operator receive a co Operste is issued to a person other than the owner or operator of the tank,the Permittee shall enaae that beth
<br /> py of the permit.
<br /> 4) Written Monitoring Procedures and an Emergency Response Plan most be appmved by the Emirommemal Health Department(EHD)and are considererd UST Pettit 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 permiL
<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 Pernitee shall comply with the requirements of Title 23 CCR Chap.16,An.5,and the approved Emergency Response plate,
<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 s}srem 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 Pemmit to Operate will be subject to review,modification or
<br /> 11) Leb'&%!d1916n,repair and/or removal permits are required from the EHDrior to any change.
<br /> Prepair or removal of USf system equipment
<br /> 12) The Pemduee shall submit an annual report documenting compliance with the UST Pertrct 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 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 FORK MUST BE DISPLAYED CONSPICUOUSLY OY TBE PREMISES
<br /> Regulated Facility. CHEVRON STATION#210997 Facility ID
<br /> 0013
<br /> 1442 COLONY DR
<br /> Account ID ARAR0023494
<br /> RIPON, CA 96336 Issued 4/1/2004
<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
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