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<br /> r SAN JOAQUUNTY ENVIRONMENTAL HEALTH EPARTMENT
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<br /> 600 E. Main St. • Stockton, CA 95202-3029 r Phone(209).46&,3420
<br /> Donna Heran,R.E.H.S.,Director 'Ix '
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<br /> } + ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAMA
<br /> PERMIT TO OPERATE
<br /> Program Permit a 't ,
<br /> Permit
<br /> Program Code and DescriptionRecord 1D Number
<br /> Valid
<br /> c
<br /> PRO521685 PT0014651 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2012 To 12!31/2012
<br /> x, Hazardous Waste Generator Program:
<br /> In order to maintain the permit to operate,Hazardous Waste Generators shall comply with California Health and Safety Code Diu.2Q,Chap.6.5,Art.
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<br /> Sec.25100 et seq;_and Title 22,California Code of Regulations Chap_20._ ri .
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<br /> PRO516248 2300-UNDERGROUND STORAGE TANK FACILITY"'- 1/1/2012 To 12/31/ 012
<br /> Underground Storage Tank Program: + ;, I
<br /> California Health and Safer Code,Div.20,Cha 6.7 and Title 23,California Code of Re ulatlons Cha 16I
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<br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
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<br /> 2362 1 390005162480515525 PT0011197 20,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 2 390005162480515526 PT0011198 15,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
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<br /> Underground Storage Tank Permit Conditions
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<br /> 1) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid and/or the USTsystems)fails to ren in ttt CpmpI ance with these Permit Conditions ,y� S
<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 C(12;.Title9,:K'hap 16 d 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,d16 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 permit.
<br /> 6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,QS'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,An.5,and the approved Emergency Response Plan., -
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<br /> 8) Written records of al(monitoring performed shallbemaintained on-site by the operator and be available for inspection for a period of at least three years from the date the motutonng yeas ryt a
<br /> performed k
<br /> 9) The EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change.
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<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 wilt be subject to review,modification or ?
<br /> revocation,
<br />- l 1) Construction,repair and/or removal pennits are required from the EHD prior to any change,repair or removal of UST system equipment. t .
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<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 agencyt
<br /> „ 13) A 'Conditional”Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated < F R n >
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<br /> PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause.
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<br /> PERMIT(s)Valid only for: CHEVRON STATIONS INC `
<br /> DBA: CHEVRON STATIONS
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<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> CHEVRON STATION #209167 Facility ID
<br /> FA0012532
<br /> Regulated Facility: it ry a wt
<br /> 1234 E YOSEMITE AVEC F
<br /> =' - �¢B1' f Account ID AR0020562: r
<br /> MANTECA CA 95336 Issued 'err + a
<br /> t �;} r 2/10/2012
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<br /> dress: ATTN PERMIT DESK
<br /> CHEVRON STATION #209167 4+ yrY
<br /> PO BOX 2292 a
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<br /> BREA CA 92821-2
<br /> 292
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