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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 304 E.Weber Ave.,Third Floors Stockton,CA 95202-2708 Phone(209)468-3420
<br /> Donna Heran,R.E.H.S.,Director
<br /> SAN J QW COI. GER FIETaN VALENCY
<br /> PERMIT TO OPERATE
<br /> s
<br /> Program Permit Permit
<br /> Record ID Number Program Code and Description Valid r
<br /> PRO514273 PT0010476 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2005 To 12131/2006
<br /> Hazardous Waste Generator Program:
<br /> x
<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,Art.2-13,
<br /> Sec_25100 et seq,and Title 22,California Code of Regulations,Chap.20_
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<br /> 1766 2300-U70.
<br /> GROUND STORAGE TANK FACILITY 1/1/2005 To 12/31/2005
<br /> cle round Stora e Tank Program: t
<br /> Ca'fo----Health and Safe . 5C,ap._6.7 and Title 23,California Code of Regulations,Chap. 16.
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<br /> P%E Tank# Tank Rerord ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2362 5 390002317660507190 PT0009250 15,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring s,atsr
<br /> 2360 6 390002317660507191 PT0009255 20,000 PREMIUM UNLEADED Active,billable
<br /> DOUBLE WALLED Continuous Interstitial Monitoring
<br /> SSE IDO: 44-031013 4
<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 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 /> 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 r -
<br /> monitoring,response,and plot plans shall be maintained onsite with the permit.
<br /> S) 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 ifspecified 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
<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 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 re%iew,modification or
<br /> revocation.
<br /> 1 1) Construction,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 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 /> jf- 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 INC
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility: CHEVRON STATION #99840'` Facility ID FA0003717
<br /> 4344 E WATERLOO RD Account ID AR0003296
<br /> STOCKTON, CA 95205 issued 2/10/2005
<br /> Billing Address: ATTN PERMIT DESK L2375 B-3 r„
<br /> CHEVRON STATION #99840*
<br /> PO BOX 6004
<br /> SAN RAMON, CA 94583
<br /> 7023.rpt
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