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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 1868 E.Hazelton Ave. • Stockton, CA 95205-6232 • Phone(209)468-3420
<br /> Donna Heran,R.E.H.S.,Director _
<br /> ENVIRONMENTAL HEALTH 7
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit Permit
<br /> Record ID Number Program Code and Description Valid s.
<br /> PRO514250 PT0010453 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2014 To 12/31/2014
<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,Art.2-13,
<br /> Sec.25100 et seq, and Title 22,California Code of Regulations,Chap_20.___ _- __------__
<br /> =n,----- - -- -------- -- ------ — —
<br /> PIR0232587 13300-UNDERGROUND STORAGE TANK FACILITY 1/1/2014 To 12/31/2014
<br /> Urrderciro Drage n rogram:
<br /> California Health and Safety Code,Div-20,Chap.6.7 and Title 23,California Code o f Regulations,Chap_16-----------------------------------------------
<br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2362 1 390002325870258701 PT0007430 12,000 REGULAR UNLEADED ACTIVE,BILLABLE DOUBLE-WALL Continuous Monitoring
<br /> 2360 2 390002325870258702 PT0007429. 12,000 REGULAR UNLEADED ACTIVE,BILLABLE DOUBLE-WALL Continuous Monitoring
<br /> 2360 3 390002325870258703 PT0007431 12,000 PREMIUM UNLEADED ACTIVE,BILLABLE DOUBLE-WALL Continuous Monitoring
<br /> BOE ID#: 44031913"
<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 Pennit Conditions. The approved
<br /> monitoring,response,and plot plans shall be maintained onsite with the pennit F `
<br /> 5) The Pennittee 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 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 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.
<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. F tea
<br /> 13) A"Conditional'Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated. t '
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<br /> PERMITS
<br /> ' -" -------PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s)Valid only for: CHEVRON PRODUCTS COMPANY(A DIVISION OF CHEVRON U.S.A. INC.)
<br /> Tank Owner: CHEVRON PRODUCTS CO
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> CHEVRON USA#201761* Facility ID FA0004521
<br /> Regulated Facility:
<br /> 1103 S MAIN ST Account ID AR0004206
<br /> MANTECA CA 95337 Issued 3/17/2014 sr
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<br /> Billingaq 51 �
<br /> Address: PERMIT DESK 9 � €
<br /> CHEVRON USA #201761*
<br /> PO BOX 6004 / L2375—B3
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<br /> SAN RAMON CA 94583re
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