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<br /> SAN JOAQUIN OUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> , `',� ,•:, 600 E. Main St. • Stockton, CA 95202-3029 Phone(209)468-3420
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<br /> Donna Heran,R.E.H.S.,Director
<br /> ENVIRONMENTAL HEA
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<br /> SAN JOA_QUIN COUNTY CERTIFIED UNIFIED PROGRAIV1rA6ENCY
<br /> PERMIT TO OPERATE For r ,• .
<br /> Program Permit Permit
<br /> Record LD Number Program Code and Description ',
<br /> Valid
<br /> PRO514246 PT0010449 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR:FACILITY 11112012 To 12131/2012 s
<br /> Hazardous Waste Generator Program r y X•f ' ;; ; ;
<br /> In order to maintain the permit to operate,Hazardous Waste Gerators shall comply with California Health and SVj( I 2� Chap.6,5,�Art.
<br /> Generators 2-13,
<br /> Sec.25100 et seg,and Title 22,California Code of Regulations,Chap.20. -
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<br /> 77-777-7
<br /> PR02325342300-UNDERGROUND STORAGE TANK FACILITY A. 1/1/2012 To 12/31/2Q12l""
<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. + -
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<br /> PIE Tank# Tank Record ID Permit# Capacity Contents Permit Status ystem Type Leak Detection
<br /> :h 2362 1 390002325340253401 PT0006454 12,000 REGULAR UNLEADED Active,billable ,',,,,DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 2 390002325340253402 PT0006455 12,000 MIDGRADE UNLEADED
<br /> Active,billable ooueLE WALLED Continuous Interstitial Monitoring
<br /> r 2360 3 {3390002325340253403 PT0006456 12,000 REGULAR UNLEADED Active;billable DOUBLE WALLED Continuous Interstitial Monitoring
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<br /> Underground Storage Tank Permit Conditions
<br /> E '•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 Condition
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<br /> '`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"rank 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 w
<br /> a: monitoring,response,and plot plats shall be maintained onsite with the permit. M
<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,leak,or other unauthorized release,the Pennitee shall comply with the requirements of Title 23 CCR,Chap.16,Art.5,and the approved Emergency Response Platt z
<br /> 8) Written records of all monitoring performed shall be maintained on-site by the operator and be available for inspection fora period of at least three years from the date the monitoring was ;
<br /> performed:
<br /> r 9) The EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change. s ;
<br /> 10) Upon any change in equipment,design or operation of the UST system(including change in tank contents or usale),'[he Per7i4t`tto�vVj�l>gt st�►ject So itevlgxir�:
<br /> revocation, e t I
<br /> 11) Construction,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment.
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<br /> 12) This Penmt to Operate shall not be considered permission to violate any laws,ordinances or statutes of any other Federal,State or Local agency. 'I f ry
<br /> 13) A"Conditional"Penni- may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated. " y
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<br /> PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause. ,.
<br /> PERMIT(s)Valid only for: CHEVRON PRODUCTS COMPANY
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility: CHEVRON STATION#201383 # � E; = Facihtytp,'FA0004547 � "r+�,1* $
<br /> 1960 W 11TH ST Or
<br /> Accoun#1D �0004291'`� : #
<br /> TRACY CA 95376 r ` ' `''k " tssuQd1�l12012sItr ``
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<br /> Billin Address;
<br /> 9 ATTN PERMIT DESK x 1
<br /> CHEVRON STATION #201383 r �I
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<br /> F PO BOX 6004
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<br /> > SAN RAMON CA 94583
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