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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 304 E.Wcbcr Avc.,Third Floor• Stockton,CA 95202-2708• Phonic(209) 468-3420
<br /> Donna Hcran, RE-H.S., Director
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit Permit
<br /> Record ID Number Program Code and Description Valid
<br /> PRO517536 PT0011806 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2003 To 12/31/2003
<br /> Hazardous Waste Generator Program:
<br /> California Health and Safety Code,Div_20,Chap.6.5,Art.2-13,Sec_25100 et seq,and Title 22,California Code of Regulations,Chap_20 :
<br /> -- ----- --- ------------
<br /> PR0231952 2300-UNDERGROUND STORAGE TANK FACILITY 111/2003 To 12/31/2003
<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 /> -------------------------- -- --------- ----- -------- --------
<br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2360 9 390002319520195209 PT0004296 10,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 8 390002319520195208 PT0004295 12,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 7 390002319520195207 PT0004294 12,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 6 390002319520195206 PT0004293 12,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2362 5 390002319520195205 PT0004292 12,000 MIDGRADE UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 80E TMT 024486 ir%",-
<br /> Underground Storage Tank Permit Conditions
<br /> I) 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 Conditions.
<br /> 2) In order to maintain the operating permit,the owner and operator shall comply with the FI&S Code,Div.20,Chap.6.7 and 6.75;and CCR,Title 23,Chap. 16 and 18,as well as any 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[hat both
<br /> the Tank Owner and tank Operator receive a copy of the permit.
<br /> 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
<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,Icak,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 El 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 review,modification or
<br /> 1 1) tree t 6016,repair and/or removal permits are required from the 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 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 /> DBA: CHEVRON STATION
<br /> Tank Owner.- CHEVRON USA
<br /> THIS FOP01 MUST BE DISPLAYED CONSPICUOUSLY ON THE PRENHSES
<br /> Regulated Facility: CHEVRON STATION #94275* Facility ID FA0003712
<br /> 2905 W BENJAMIN HOLT DR Account ID AR0003291
<br /> STOCKTON, CA 95207 Issued 511/2003
<br /> Billing Address:
<br /> CHEVRON PRODUCTS USA
<br /> PO BOX 6004
<br /> SAN RAMON, CA 94583
<br /> 7023.rp1
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