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<br /> SAN JOAQULN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT;-'.`
<br /> 600E Main St. • Stockton,CA 95202-3029 • Phone(209)468-3420
<br /> Donna Heran,R.E.H.S.,Director '
<br /> t _ � � '�" SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY � r
<br /> PERMIT TO OPERATE
<br /> Program Permit Permit
<br /> Record ID Number Program Code and Description
<br /> Valid
<br /> PRO513846 PT0010041 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2012 To 12/31/2012
<br /> Hazardous Waste Generator Program:
<br /> In order to maintain the permit to operate,Hazardous WasteGenerators shait'comptywith California Health and Safety Code,Div.20,Chap.6.5,Art.2-13,
<br /> Sec.25100 et seq,and Title 22,California Code of Regulations,Chap_20_
<br /> R0231333 2300 UNDERGROUND STORAGE TANK FACILITY 111/2012 To 12/31/2012
<br /> Underground Storage Tank Program: f µ �
<br /> California Health and Safety Code, Div.20,Chap.6.7 and Title 23,California Code of Regulations,Chap 16
<br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2362 5 390002313330506057 PT0008534 12,000 DIESEL Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 6 390002313330506058 PT0008535 12,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 7 390002313330506059 PT0008533 12,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Mprytoring
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<br /> Underground Storage Tank Permit Conditions yi z K� d , 0
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<br /> ;1) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid and/or the UST systems)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 Code,Div.20,Chap.6.7 and 6.75;and CCR,Title 23,Chap.16 and 18,as well as any conditions
<br /> i 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 that 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 s r ' "Al", a fva t
<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,
<br /> provide documentation of such servicing to this office. w+'
<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 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 EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such
<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 lie subject to review,modification or ` t
<br /> revocation. §$
<br /> 11) Construction,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment:
<br /> 12) This Permit to Operate shall not be considered permission to violate any laws,ordinances or statutes of any other Federal,State or Local agency u tjy
<br /> 13) A"Conditional'Permit maybe revoked if corrections specified on the inspection report are not completed by the date(s) indicated �$
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<br /> PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s)Valid only for: BR PETRO INC w n
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<br /> DBA: LAKEWOOD CHEVRON
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> LAKEWOOD CHEVRON <p Facility ID FA0003711
<br /> Regulated Facility: " s,t "
<br /> 236 N HAM LN AR0003290
<br /> r �� r z a Account ID
<br /> s LODI CA 95240 '*I; g � �r M , , r
<br /> �; f 't r r Issued 2/10/2012
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<br /> Billing Address. ATT
<br /> N BR PETRO t� ?
<br /> LAKEWOOD CHEVRON
<br /> 236 N HAM LN .a1 4� ra� r xnyc F + 1as�e2
<br /> LODI CA 95240 a'Av s
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