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r <br />SAN JO11RUIN COUNTY PUBLIC HEALTH 9lfVICES <br />304 E. WEBER AVE., THIRD FLOOR • STOCKTON, CA 95202 • PHONE (209) 468-3420 <br />KAREN FURST, M.D., M.P.H., HEALTH OFFICER <br />DONNA RERAN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br />ENVIRONMENTAL HEALTH <br />SAN JOAQUI 1 COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br />PERMIT TO OPERATE <br />— Permit <br />Program Permit Program Code and Description <br />Valid <br />Record ID Number <br />PRO514447 PT0010650 2220 - SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1101 To 12/31/01 <br />Hazardous Waste Generator Program: <br />California Health and Cod_ e_ Div. 20, Chap_ 6.5, Art. -2-1 3 Sec. 25100 et seq, and- Title 22 Califomia Code---- Regulations, C_ hap. 20_ _ _ _ _ _ _ _ _ _ _ _ . <br />---------------- - ----------------- - <br />PR0231 -"-----111101 To 12/31101 <br />PR0231784 -UNDERGROUND STORAGE TANK FACILITY <br />Under round Stora ?Tank <br />California Health and Safety Code Div_ 20, Chap. 6.7 and Tide -2 -3 -California ___ Code of Regulations Chap._16_ - - - -._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ <br />.. " " ".- ..no....:r cr�n,c Cvctam Tune Leak Detection <br />2360 7 390002317840178407 PT0005099 10,000 HRLMIUM UNLtH,ucu tu:uve DOUBLE WALLED INVENTORY REC/MANUAL <br />2360 6 390002317840178406 PT0005098 10,000 REGULAR UNLEADED Active DOUBLE WALLED INVENTORY REC/MANUAL <br />2362 5 390002317840178405 PT0005097 10,000 REGULAR UNLEADED Active <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 <br />Conditions. <br />2) In order to maintain the operating permit, the permit holder 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 <br />any conditions established by San Joaq uin 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 ofthe tank, th a Permittee shall <br />ensure that both the Tank Owner and tank Operator receive a copy ofthe permit. <br />4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Division (PHS/EHD) and are considererd UST Permit <br />Conditions. Copies ofthe Procedures and Emergency Response Plan must be attached to this permit or be available for review and/or inspection at the UST site. <br />5) The Permittee 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 if specified by the equipment <br />manufacturer, and provide documentation ofsuch 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 <br />Response Plan. <br />8) Written records of all monitoring performed shall be maintained on-site by the operatorand be available for inspection fora period of at least three }ears from the date the <br />monitoring was performed. <br />9) The PHS/EHD shall be notified of any change in ownership or operation ofthe UST system within 30 days of such change. <br />10) Upon any change in equipment, design or operation ofthe UST system (including change in tank contents or usage), the Permit to Operate will be subject to review, <br />modification or revocation. <br />11) 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 ofthe anniversary date ofthe issuance ofthis 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) Valid only for: CHEVRON PRODUCTS USA <br />Tank Owner: CHEVRON PRODUCTS CO <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: CHEVRON STATION #96171* Facility ID <br />6633 PACIFIC AVE Account ID <br />STOCKTON. CA 95207 Issued <br />Billing Address: ATTN : PERMIT DESK <br />CHEVRON PRODUCTS USA <br />PO BOX 6004 <br />SAN RAMON, CA 94583 <br />7023.rpt 0 0 <br />FA0003834 <br />AR0003422 <br />3/29/2001 <br />