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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 304 E.Weber Ave.,Third Floor•Stockton,CA 95202-2708• Phone(209)468-3420 Donna Herron,REH.S.,Director ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Program Permit Permit Record ID Number Program Code and Description Valid PR0518458 2300-UNDERGROUND STORAGE TANK FACILITY 111/2003 To 1213112003 Underground Storage Tank Program: California Health and Safety Code,Div.20,Chap_6.7 and Titie 23,California Code of Regulations,Chap:16. _ PIE Tank# Tank Record ID Permit# Capacity Contents Pemut Status System Type 2360 2 390005184580515641 PT0012036 15,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED 2362 1 390005164580515640 PT0012035 20,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Intensities Monitoring Underground Storage Tank Permit Conditions 1) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid and/or the UST system(s)fails to remain in compliance with these Permit Condidom 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,n well as any conditions established by San Joaquin County. 3) If the Tank Opemtor(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 mnk,the Permittee shall ensure that both the Tank Owner and mnk Operator receive a copy of the permit. 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Department(EHD)and are considererd UST Permit Conditions. The approved monitoring,response,and plot plans shall be maintained onsite with the permit. 5) The Permittee shall comply with the monitoring procedures referenced in this permit 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 provide documentation of such servicing to this office. 7) In the event of a spill,leak,or other unauthorized release,the Pennitee shall comply with the requirements of Title 23 CCR,Chap.16,Art.5,and the approved Emergency Response Plan. 8) Written records of all monitoring performed shall be maintained on-site by the operator and be available for inspection tar a period of at least three years from the dale the monitoring was performed. 9) The EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change. 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 11) Ced&Wi4lbn,repair and/or removal pemuts ate required from the EHD prior to any change,repair or removal of UST system equipmmt 12) The Permittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the anniversary date of the issuance of this permit. 13) This Permit to Operate shall not be considered permission to violate any laws,ordinances or statutes of any other Federal,Sure or Local agency. 14) A"Conditional'Permit may be revoked if corrections specified on the inspection report are not completed by the dates) indicated _ PERMITS TO OPERATE are NOT TRANSFERABLE and may be SUSPENDED or REVOKED for cause. PERMIT(s)Valid only for: CHEVRON STATIONS INC DBA: APSI CHEVRON THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES Regulated Facility. CHEVRON STATION#210997 FacilityID FA0013918 1442 COLONY DR Account ID AR0023494 RIPON, CA 95336 Issued 5/112003 Billing Address: ATTN : PERMIT DESK CHEVRON STATION #210997 PO BOX 6004 SAN RAMON, CA 94583-0904 7023 rpt