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SAN JOAQ" COUNTY PUBLIC HEALTH SERCES <br /> 304 E. WEBER Ave.,TDIR FLOOR • STOCKTON,CA 95202 PHON 09) 468-3420 <br /> KAREN FURST, M.D., M.P.H., HEALTH OFFICER <br /> DONNA HERRN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> rogram Permit cnmt <br /> Record ID Number Program Code and Description Valid <br /> PRO51413 PT0010337 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1100 To 12131/00 <br /> Hazardous Waste Generator Program: <br /> California Health and SafetyCode Div.20,Chap.6.5,Art.2-13 Sec.25100 et see,and Title 22 California Code of Regulations,Chap.20. <br /> _. _ . _ _ .. - - ---- --- ---- .. <br /> PR023248 2300_-UNDERGROUND STORAGE TANK FACILITY 1/1/00 To 12/31100 <br /> Underground Storage Tank Program: <br /> California Health and Safety Code Div.20,Chap.6.7 and Title 23 California Code of Regulations Chap. 16. <br /> janK4 I WIK KccorclIletion npret y n en s c in Statuyslclrl I ype LCaKc ec ran <br /> Active <br /> 2360 2 390002324820248202 PT0004325 12,000 UNLEADED Active DOUBLE WALLED INVENTORY RECIMANUAL <br /> 2360 1 390002324820248201 PT0004324 12,000 OTHER Active DOUBLE WALLED INVENTORY RECIMANUAL <br /> BOE ID#:"`44.031913 <br /> Underground Storage Tank Permit Conditions <br /> 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 <br /> these Permit Conditions. <br /> 2) In order to maintain the operatingpermit,the permit holder shall empty with the H&S Code,Div.20,Chap.6.7 and 6.75;and CCR,Title 23,Chap. 16 and <br /> 19,as well as any conditions established by San Joaquin County. <br /> 3) If the Tank Operators)is different from the Tank Owner,m if the Permit to Operate is issued to a person other than the owner or operator of the tank,the <br /> Permittee shall ensure that both the Tank Owner and tank Operator receive a copy of the permit. <br /> 4) Written Monitminp Procedures and an Emergency Response Plan must be approved by the Environmental Health Division(PIIS/EI ID)and are considerenl <br /> UST'Permit Conditions. Copies of the Procedures and Emergency Response Plan must be attached to this permit or be available for review and/or inspection <br /> aLth UST rttee Ssite <br /> 5) I me g'ermhall comply with the monitoring procedures referrenced in this permit. <br /> 6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annual ly,or more frequently if specified by the <br /> equipment manufacturer,and provide documentation of such servicing to this office. <br /> 7) In the event of a spill,leak,or other unauthorized release,the Permitee shalt comply with the requirements of Title 23 CCR,Chap. 16,Art.5,and the <br /> 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 <br /> from the date the monitoring was performed. <br /> 9) The PHS/EI ID 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 <br /> review,modification or revocation. <br /> 11) Construction,repair and/or removal permits arc required from the PIIS/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 of the issuance <br /> 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 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 to AR0003298 <br /> STOCKTON, CA 95210 Issued 10/1012000 <br /> Billing Address: ATTN : PERMIT DESK <br /> CHEVRON PRODUCTS USA <br /> PO BOX 6004 <br /> SAN RAMON, CA 94583 <br /> 7023.rpt • <br />