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<br /> SAN JOAQU OUNTY ENVIl -.�.«NTAL HEALWEPARTMENT
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<br /> k r 600E Main St. • Stockton,CA 95202-3029 • Phone(209)468-3420
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<br /> Donna Heran, R.E.H.S.,Director
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<br /> ENVIRONMENTAL HEALTH
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<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE dry?
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<br /> Program Permit Permit
<br /> Record ID Number Program Code and Description Valid
<br /> PRO513846 PT0010041 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2008 To 12/31/2008
<br /> Hazardous Waste Generator Program:
<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,Art2 13, rr
<br /> Sec.25100 et seg,and Title 22;California Code of Regulations,Chap.20_ a •
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<br /> PR0231333 2300-UNDERGROUND STORAGE TANK FACILITY ;tt '• s 1!1/2008 To 12!3112008 rS{+
<br /> Underground Storage Tank Program
<br /> California Health artd Safety Code:Div.20,Chap._6.7 and Title 23,Cal fornia Code of Regulations Chap. 16 h
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<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 3490002313330506059 PT0008533 12,000 REGULAR UNLEADED Active,billable. DOUBLE WALLED Continuous Interstitial Moni i
<br /> 440374"I.1
<br /> Underground Storage Tank Permit
<br /> i 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 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 condttions'
<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 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 n f x,
<br /> i monitoring,response,and plot plans shall be maintained onsite with the permit
<br /> 5) The Pennittee shall comply with the monitoring procedures referenced in this permit: a `"a p }• S ,., a
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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 /> I;' t�-provide documentation of such servicing to this office.
<br /> `a r 3n 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: ter
<br /> $} ;VWritten 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 ✓qi
<br /> performed. `
<br /> 9) The EI ID sliall be notified of any change in ownership or operation of the UST system within 30 days of such change. ;; tc r 3 f h•; }y
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<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. a,
<br /> 11 Construction,repair and/or removal permits are required from the EHD prior to an change,re air or removal of UST system equipment,
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<br /> 12) The Permittee shall submit an amoral report documenting compliance with the UST Permit Conditions within 30 days of the date of the issuance of this permit. to vY s a t
<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 porrections specified on the mspection reportare not gompleted by the date(s) indicated. `z
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<br /> PERMITS TO OPERATE are NOT TRANSFERABLE i
<br /> and may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s)Valid only for: BR PETRO INC x
<br /> DBA: LAKEWOOD CHEVRON
<br /> Tank Owner: KEN PAIGE
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility: LAKEWOOD CHEVRON E^ ��'w* h �_ Facility ID
<br /> ( n r FA0003711
<br /> 236 N HAM LN t 't'
<br /> r r r �� Account ID AR0003290 ra °
<br /> LODI CA 952401 t r t " k ;t
<br /> s 7 Issued 2/8/2008
<br /> �, t t "'r• d f C5X e I,�4rr4t $ R. '^kd s S lr p .5f y.N
<br /> Billing Address: ATTN BR PETRO INC a � N,l
<br /> LAKEWOOD CHEVRON ;
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<br /> 236 N HAM LN
<br /> �t LODI CA 95290
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