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SAN JOAQUL I COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
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<br /> 1868 E. Hazelton Ave. • Stockton,CA 95205-6232 • Phone(209) 468-3420
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<br /> Donna Heran,R.E.H.S.,Director
<br /> ENVIRONMENTAL HEALTH 'r
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT_ TO OPERATE
<br /> Program Pen-nit Permit
<br /> Record ID Number Program Code and Description Valid
<br /> PR0521685 PT0014651 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. ________ ______ ______ _____-__ _-____
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<br /> PR0516248 G�1NDERGROUND STORAGE TANK FACILITY 1/1/2014 To 12/31/2014
<br /> Underground Storage Tank rogram:
<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 /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2362 1 390005162480515525 PT0011197 20,000 REGULAR UNLEADED ACTIVE,BILLABLE DOUBLE-WALL Continuous Monitoring
<br /> 2360 2 390005162480515526 PT0011198 15,000 PREMIUM UNLEADED ACTIVE,BILLABLE DOUBLE-WALL Continuous Monitoringbz`
<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 Permit Conditions. The approved
<br /> monitoring,response,and plot plans shall be maintained onsite with the permit.
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<br /> 5) The Pennittee shall comply with the monitoring procedures referenced in this pennit.
<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. °2"'t
<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 j
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<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 an chane in equipment,desi oro operation of the UST system(including chane in tank contents or usage),the Pennitto rate will be subject to review,modification or
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<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. x'
<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. a x
<br /> 13) A"Conditional'Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated.
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<br /> PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s)Valid only for: CHEVRON STATIONS INC
<br /> DBA: CHEVRON STATIONS J,
<br /> Tank Owner: CHEVRON PRODUCTS COMPANY
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<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> CHEVRON STATION #209167 Facility ID FA0012532
<br /> Regulated Facility: Account ID AR0020562
<br /> 1234 E YOSEMITE AVE
<br /> MANTECA CA 95336 Issued 3/17/2014 r t
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<br /> Billing Address: ATTN PERMIT DESK
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<br /> CHEVRON STATION #209167
<br /> PO BOX 2292
<br /> BREA CA 92821-2292 , =x '
<br /> 7023.rpt - �_
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