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M SAIV JOAQULN COUNTY ENVIRONNIENTAL HEALTH DEPARTMENT 1868 E.Hazelton Ave. ® Stockton, CA 95205-6232 • Phone(209)468-3420 Donna Heran,R.E.H.S.,Director >� T ENVIRONMEN AL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Program Permit Permit Record ID Number Program Code and Description Valid PRU518494----PT401-2052--2330--SMALL-QUANTIWHA—ZARBOUS-WANE-GENERATORFAC-IL-tfY - - 1f1/2013 To-12/31t20F3 ; Hazardous Waste Generator Program: In order to maintain the permit t rate, Hazardous Waste Generators shall comply with California Health and Safety Code,Div.20,Chap.6.5,Art.2-13, Sec.25100 et se and Title 2 Cali rnia Code of Regulations,Chap.20 _ ____ _-_ _ ________ s - - ------------ ------------------------------------------ - -- ----- -------- ------- -------- --- PR0508352 2300- NDERGROUND STORAGE TANK FACILITY 1/1/2013 To 12/31/2013` Underground Storage Tank(rogra California Health and Safety o e, Div.20, Chap.6.7 and Title 23, California Code of Regulations,Chap._16. P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection 2362 1 390005083520508353 PT0009663 20,000 REGULAR UNLEADED Active,billable DOUBLE-WALL Continuous Interstitial Monitoring 2360 2 390005083520508354 PT0009664 15,000 PREMIUM UNLEADED Active,billable DOUBLE-WALL Continuous Interstitial Monitoring BOE ID#: 44031913 Underground Storage Tank Permit Conditions iThe Permit to Operate will become void if Annual Permit Fees and Service Fees are not aid and/or the UST s stems fails to remain in compliance with these Permit Conditions ) P P Y P 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 r established by San Joaquin County. 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 the Tank Owner and tank Operator receive a copy of the pen-nit. a 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Department(EHD)and are considererd UST Pen-nit Conditions. The approved monitoring,response,and plot plans shall be maintained onsite with the permit. 5) The Permittee shall comply with the monitoring procedures referenced in this permit. 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 provide documentation of such servicin•to this office. 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 Plan k 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 ' ss performed. 9) The EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change, y 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 revocation. 11) Construction,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment. i 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, b` 13) A"Conditional' Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated -- ---- --- ------ --------- ------- ------ - --------- --------- -------- ----- -- --- PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause. PERMIT(s) Valid only for: CHEVRON STATIONS INC DBA: CHEVRON STATIONS k Tank Owner: CHEVRON PRODUCTS CO THIS FORM M1jST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES u CHEVRON STAT101 ##1731` Facility ID FA0008044 x Regulated Facility: Account ID 3355 E HAMMER LN AR0015141 STOCKTON CA 95212 Issued 2/19/2013 BillingAddress: # ATTN BUSINESS LICENSES CHEVRON STATION 41731* PO BOX 2292 . BREA CA 92821-2292 . #"