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i <br />I& , 0 0 <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH <br /> DEPARTMENT <br /> 304 E.Weber Ave.,Third Floor•Stockton,CA 95202-2708•Phone(209)468-3420 <br /> Donna Heran,%F-H.S.,Director. <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Permit <br /> Program Permit Valid <br /> Record ID Number Program Code and Description <br /> PRO518494 PT0012052 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2003 To 12131/2003.. <br /> Hazardous Waste Generator Program: <br /> Califomia Health and Safe Code,Div.20,Chap.6.5,Art.2-13,Sec.25100 et seq,and Title 22,Califomia Code of Regulations,Chap_20_-__--_---------------- <br /> ----------- --- ----------- <br /> PR0508352 2300-UNDERGROUND STORAGE TANK FACILITY 111/2003 To 12/31/2003 <br /> Underground Storage Tank Program: <br /> Califomia Health and Safety Code,Div.20,Chap. and Title-23,_Califomia Code_of Regulations,Chap_16. <br /> -- - - -- - - - <br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection <br /> 2360 2 390005083520508354 PT0009664 15,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> 2362 1 390005083520508353 PT0009663 20,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <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 <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 penr it <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 /> sh the requirements of Title 23 CCR Chap.16,Art.5,and the appioved Emergency Response Plan. <br /> 7) In the event of a spill,leak,or other unauthorized release,the Permitee shall comply wi <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 /> 11) Lgkfi 4lbn,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 anniversary 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 /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: CHEVRON USA PRODUCTS CO <br /> DBA: CHEVRON STATION <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility. CHEVRON STATION#208118 Facility ID FA0008044 <br /> 3355 E HAMMER LN Account ID AR0015141 <br /> STOCKTON, CA 95212 Issued 5/1/2003 <br /> Billing Address: <br /> CHEVRON STATION #208118 <br /> PO BOX 6004 <br /> SAN RAMON, CA 94583 <br /> 7023.rpt <br />