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<br /> SAN JOAQ_UIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 304 E.Weber Ave.,Third Floor•Stockton,CA 95202-2708• Phone(209)468-3420
<br /> Donna Heran,RE.H.S.,Director
<br /> SAN J CES Pil t4N EIXW AVAtENCY
<br /> EEPERATE
<br /> Permit! a
<br /> Program
<br /> Number Program Code and Description Valid
<br /> PRO514250 PT0010453 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2005 To 12l31t2005
<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 Calif row, -----
<br /> - ---------- ------------------------------------------ -
<br /> PR0232�'7 2300-UNDERGROUND STORAGE TANK FACILITY 11112005 To 12!31/2005
<br /> Underground Storage Tank Program:
<br /> California Health and Safety Code,Div.20,Chap.6.7 and Title 23,California-Cod e of Regulations,Chap:16--------------------------------------------------------------- X
<br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection `r
<br /> 2362 1 390002325870258701 PT0007430 12,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 2 390002325870258702 PT0007429 12,000 MIDGRADE UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring rr
<br /> 2360 3 390002325870258703 PT0007431 12,000 REGULAR UNLEADED Acfive,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> $0E 10#:'44-031913
<br /> rUnderground Storage Tank Permit Conditions
<br /> i) 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"rank 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 Enviromnental 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,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 of 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) The Permittee shall submit an amoral report documenting compliance with the UST Permit Conditions within 30 days of the 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):Yaiid o,!y for: CHEVRON PRODUCTS USA
<br /> DBA: CHEVRON STATION
<br /> Tank Owner: CHEVRON PRODUCTS CO
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES ;
<br /> Regulated Facility: CHEVRON USA#201781 Facility ID FA0004521
<br /> 1103 S MAIN ST Account ID AR0004206
<br /> MANTECA, CA 95337 Issued 2/10/2005
<br /> Billing Address: fi{
<br /> CHEVRON USA #201761
<br /> PO BOX 6004 / L2375—B3
<br /> SAN RAMON, CA 94583
<br /> 7023.rpt
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