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SAN JOIN COUNTY PUBLIC HEALTH VICES <br /> 304 E.WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 • PHONE(209)468-3420 <br /> KAREN FURST,M.D., M.P.H., HEALTH OFFICER <br /> DONNA HERAN,R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> ProgramPermit Permit <br /> Record ID Number Program Code and Descriptim Valid <br /> PRO514134 PT0010337 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1101 To 12/31101 <br /> Hazardous Waste Generator Program: <br /> California Health and Safi Div.20,Chap_6.5,-Art.-2-13 Sec.25100 et seq_and Title 22 Califomia Code of R_egulafions,Chap.20:-______---_ <br /> PR0232482 ERGROUND STORAGE TANK FACILITY 1MI01 To 12131/01 <br /> oder round Stora a Tank <br /> CaliforniaHea_lt_h_a_nd Safety Code__.2-_Chap_-- and Title - Califomia Code of Regulations Chap.16: ____________________________ <br /> P/E Tank#. Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection <br /> 2360 3 390002324820248203 PT0004326 12,000 UNLEADED Active DOUBLE WALLED INVENTORY REC/MANUAL <br /> 2360 2 390002324820248202 PT0004325 12,000 UNLEADED Active DOUBLE WALLED INVENTORY RECIMANUAL <br /> 2362 1 390002324820248201 PT0004324 12,000 OTHER Active DOUBLE WALLED INVENTORY RECNANUAL <br /> Underground Storage Tank Permit Conditions <br /> I) The Permit to Operate will become void if Annual Perrot Fees and Service Fees are not paid and/or the UST system(s)fails to remain in compliance with these Permit <br /> Conditions. <br /> 2) In order b maintain the operating permit,the permit holder 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 as <br /> any conditions established by San Joaquin County. <br /> 3) If the Tank Operaor(s)is different from the Tank Owner,or if the Permit to Operate is issued to person other than the owner or operator of the tank,the Permittee shall <br /> ensure that both the Tank Owner and tank Operater receive a copy of the permit. <br /> 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Divsion(PHS/EHD)and am considerer)UST Permit <br /> Conditions. Copies of the Procedures and Emergency Response Plan must be attached to this permit or be available for review and/or inspection at the UST site. <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 <br /> manu facturer,and provide documentation ofsuch 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 <br /> Response Plan. <br /> 8) Written records craft monitoring performed shall be maintained on-site by the operatorand be available for inspection fora period of at hast three years from the date the <br /> monitoring was performed. <br /> 9) The PHS/EHD shall be notified of any change in ownership or operation ofthe UST system within 30 days of such change. <br /> 10) Upon any change in equipment,design or operation ofthe UST system(including change in tank contents or mage),the Permit to Operate will be subject to review, <br /> modification or revocation. <br /> 11) Construction,repair and/or removal permits are required from the PHS/EHD prior to any 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 anniversary date ofthe issuance ofthis 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 maybe 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 /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: CHEVRON STATION#200764' Facility ID FA0003719 <br /> 4747 WEST LN Account ID AR0003298 <br /> STOCKTON, CA 95210 Issued 3/29/2001 <br /> Billing Address: ATTN : PERMIT DESK <br /> CHEVRON PRODUCTS USA <br /> PO BOX 6004 <br /> SAN RAMON, CA 94583 <br /> 7023.rpt • 0 <br />