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SAN JN COUNTY PUBLIC HEALT ICES
<br /> 304 E.WEBER AvE.,THIRD FLOOR • STOCKTON,CA 95202 • PHOrE (209) 468-3420
<br /> KAREN FURST, M.D., M.P.H., HEALTH OFFICER -
<br /> DONNA HERAN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> ro ram ermit ermit
<br /> Record ID Number Program Code and Description Valid
<br /> PR051425 PT0010453 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 111100 To 12/31/00
<br /> Hazardous Waste Generator Program:
<br /> California Health and Safety Code Div.20,Chap.6.5,Art.2-13 Sec.25100 et seq,and Title 22 California Code of Regulations,Chap.20 y
<br /> - --- - - - - - - - -- - -- - - --- - -- - - - - - - -- ------ 1/1/00 To 12/31/00 * a
<br /> PR023258 2300-UNDERGROUND STORAGE TANK FACILITY
<br /> Underground Storage Tank Program:
<br /> California Health and Safety Code Div.20,Chap.6.7 and Title 23 California Code of Regulations Chap. 16. _
<br /> - - -- - --- - ---
<br /> an an ecor ermi apace on ens ermi Status System ype eaDetection
<br /> Pit `<
<br /> Active703 PT0007431 12,000 i u '
<br /> 2360 1 390002325870258701 PT0007430 12,000 UNLEADED Active DOUBLE WALLED INVENTORY REC/MANUAL
<br /> 2360 2 390002325870258702 PT0007429 12,000 OTHER Active DOUBLE WALLED INVENTORY REC/MANUAL > f
<br /> BOE,ID#:',"-031913.
<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 UST system(s) fails to remain in compliance with
<br /> these Permit Conditions.
<br /> 2) In order to maintain the operating permit,the pen-nit holder shall comply with the HRS Code,Div.20,Chap. 6.7 and 6.75;and CCR,Title 23,Chap. 16 and :
<br /> 18,as well as any conditions established by San Joaquin County.
<br /> 3) Ifthe Tank O erator(s)is different from the Tank Owner,or if the Permit to Operate is issued to a person other than the owner or operator ofthe tank,the ,
<br /> Permittee shall ensure that both the Tank Owner and tank Operator receive a copy of the permit. si
<br /> 4) Written Monitoring Procedures and an Emergency Response Pian must be approved by the Environmental Health Division(PHS/EHD)and are considererd
<br /> UST Permit Conditions. Copies of the Procedures and Emergency Response Pian must be attached to this permit or be available for review and/or inspection
<br /> ,�j,tht•,,,UST site.
<br /> 5) I he m ermlttee shall comply with the monitoring procedures referrenced in this permit.
<br /> 6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently ifspecified by the „
<br /> equipment manufacturer,and provide documentation of such servicing to this office. R
<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 -
<br /> 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
<br /> from the date the monitoring was performed.
<br /> 9) The PHS/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
<br /> review, modification or revocation. � ;
<br /> 1 1) Construction,repair and/or removal permits are required from the PHS/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 }
<br /> 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 /> ecified on the inspection report are not completed by the date(s) indicated.
<br /> 14) A"Conditional"Permit may be revoked if corrections spr
<br /> PERMITS TO OPERATE are NOT TRANSFERABLE g
<br /> and may be SUSPENDED or REVOKED for cause. x
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<br /> PERMIT(s)Valid only for: CHEVRON PRODUCTS USAF
<br /> Tank Owner: CHEVRON PRODUCTS CO `
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility: CHEVRON USA#201761* Facility ID 0004
<br /> 521 1103 S MAIN ST Account ID AR0004206 ;
<br /> MANTECA, CA 95337
<br /> Issued 9129/2000 ,< 4?,
<br /> Billing Address: ATTN : PERMIT DESK t:
<br /> CHEVRON USA#201761* '
<br /> PO BOX 6004
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<br /> SAN RAMON, CA 94583 p
<br /> 7023.rpt
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