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<br /> 4 ` f SAN JOAQU0 COUNTY ENVIRONMENTAL,HEALT DEPARTMENT r t x
<br /> 600 E. Main St. • Stockton,CA 95202-3029 • Phone(209)468-3420 ` 5
<br /> 4 �-tom pew
<br /> Donna Heran,R.E.H.S., Director F sib$ A
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY �, � �
<br /> x
<br /> PERMIT TO OPERATE
<br /> Program Permit ,y , r 3c' _ Permit
<br /> Record ID Number Program Code and Description Valid
<br /> PR0513846 PT0010041 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2009 To 1213112009
<br /> Hazardous Waste Generator Program' t4
<br /> In order to maintain the permit to operate,Hazardous Waste Generators shall comply with California Health and Safety Code, Div.20,Chap 6 5,Art213,
<br /> Sec.25100 et se ,and Title 22,California Code of Regulations,Chap.20. re "
<br /> --------------------------------------- ---- --- -------- ----- --------
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<br /> PR0231333 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2009 To. 12/31/2009 _ #
<br /> Underground Storage Tank Program r ,
<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 T _
<br /> 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 Monitoring
<br /> n`ergfoand`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 USS'
<br /> system(s)fails to remain in compliance with these Permit Conditions f
<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 /> established by San Joaquin County. #rr r
<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: F Fo
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<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,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 i$,
<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 changer
<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 /> 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. m
<br /> 12) The Pemtittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the date o£t6e ssl qC of this permit. t v
<br /> 13) This Permit to Operate shall not be considered permission to violate any taws,ordinances or statutes of any other Federal,State or Local:agency.
<br /> 14) A"Conditional"Permit may be revoked ifcorrections spectfred on the inspection report are not completed by the date(s) indicated. z
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<br /> PERMITS TO OPERATE are NOT TRANSFERABLE
<br /> and may be SUSPENDED or REVOKED for cause. "
<br /> PERMIT(s)Valid only for: BR PETRO INC t.24A"
<br /> „ DBA: LAKEWOOD CHEVRON
<br /> Tank Owner: KEN PAIGE "
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<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility: LAKEWOOD CHEVRON, Facility ID
<br /> { FA0003711
<br /> 236 N HAM LN : Account ID AR000329p
<br /> Z `; � KJ �i
<br /> 95240 f
<br /> l Issued
<br /> LODI CA 2/4/2009 ' r
<br /> Billing Address: ATTN BR PETRO INC
<br /> LAKEWOOD CHEVRON �
<br /> 236 N HAM LN
<br /> LODI CA 95240
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