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r <br />e SAN JOIN COUNTY PUBLIC HEALTH VICES <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 JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br />PERMIT TO OPERATE <br />emit <br />rogram Fcrnut Program Code and Descri tion Valid <br />Record ID Number g p <br />PRO51444 PT0010650 2220 - SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1100 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. <br />PR023178300 - UNDERGROUND STORAGE TANK FACILITY 1/1/00 To 12/31/00 <br />Underground Storaglean-rogram: <br />California Health and Safety Code Div. 20, Chap. 6.7 and Title 23 California Code of Regulations Chap. 16. _ _ _ _ _ _ _ _ <br />- - _ on - PrmiTNTST111 vs em I voe ea a ec Ion <br />279U—__7 39000231764U1 td4UI Y I UUUOUtPy iv,vvv I - -- --- -"' - DOUBLE WALLED INVENTORY REC/MANUAL <br />2360 6 390002317840178406 PT0005098 10,000 REGULAR UNLEADED Active DOUBLE WALLED INVENTORY REC/MANUAL <br />2360 5 390002317840178405 PT0005097 10,000 REGULAR UNLEADED Active <br />Underground 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 <br />these Permit Conditions. <br />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 <br />2) In order to maintain the operating <br />18, as well as any conditions 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 ofthe tank, the <br />Permittee shall ensure that both 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 Division (PHS/EHD) and are considererd <br />UST Permit Conditions. Copies ofthe Procedures and Emergency Response Plan must be attached to this permit or be available for review and/or inspection <br />5) �th UST site. <br />irerPermrttee 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 <br />equipment manufacturer, and 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 <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 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 <br />review, 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 <br />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 FA0003834 <br />6633 PACIFIC AVE Account ID AR0003422 <br />STOCKTON, CA 95207 Issued 9/28/2000 <br />Billing Address: ATTN : PERMIT DESK <br />CHEVRON PRODUCTS USA <br />PO BOX 6004 <br />SAN RAMON, CA 94583 <br />7023.rpt 0 40 <br />