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SAN JOAQUIN COUNTY ENVIRONMENTAL. HEALTH DEPARTM E -N -T
<br />304 E. Weber Ave., Third Floor • Stockton, CA 95202-2708 • Phone (209) 468--3420
<br />Donna Heron, R.E.H.S., Director
<br />ENVIRONMENTAL HEALTH
<br />SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br />PER1NIIT TO OPERATE
<br />Program Permit Permit
<br />Record ID Number Program Code and Description Valid
<br />PRO514447 PT0010650 2220 -SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2004 To 12/31/2004
<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 seg, and Title 22, California Code of Regulations, Chap. 20: -------------------------------- _-------- _-------------------------------------------------------
<br />PR0231784 2300 - UNDERGROUND STORAGE TANK FACILITY 1/1/2004 To 12/31/2004
<br />Underground Storage Tank Program:
<br />California Health and Safety ia C
<br />Code, Div_ 20, Chap. and Title 23, Californode of Regulations, Chap_ 16_ _
<br />2360 7 390002317840178407 PT0005099 10,000 PREMIUM UNLEADED Active, billable DOUBLE WAL:.ED Continuous Interstitial Monitoring
<br />2360 6 390002317840178406 PT0005098 10,000 REGUL :R UNLEADED Active, billable DOUBLE WALED Continuous Interstitial Monitoring
<br />2362 5 390002317840178405 PT0005097 10,000 REGULIR UNLEADED Active, billable DOUBLE WA-1—ED Continuous Interstitial Monitoring
<br />BOE ID#: 44-031913
<br />Underground Storage Tank Permit Conditions
<br />I) The Permit to Operate will become void if Annual Permit Fees and Service Fees are no: :,aid and/or the UST system(s) fails to remain in compliaac- with these Permit Conditions.
<br />2) In order to maintain the operating pemtit, the owner and operator shall comply with the H&S Code. Div. 20, Chap. 6.7 and 6.75; and CCR, Title 23. Cha,. 16 and 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 i f the Permit to Operate is :_sued to a person other than the owner or operator of the =k, the Permittee shall ensure that both
<br />the Tank Owner and tank Operator receive a copy of the permit.
<br />4) Written Nlonitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Department (EHD) and are considerer✓ 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 srmitorins equipment annually, or more frequently if specifetd 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 w= the requirements of Title 23 CCR, Chap. 16, Art. 5, and :he 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 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 wits 30 docs 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 />11) M&96141bu, repair and/or removal pemtits are required from the EHD prior to any change. repair or removal of UST system equipment.
<br />12) The Pennittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the date of the issuance of this permit-
<br />13)
<br />ermit13) 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 />DBA: CHEVRON STATION
<br />Tank Owner: CHEVRON PRODUCTS CO
<br />THIS FORM MUST BE DISPLAYED CO-NSPICUOUSLY ON THE PREMISES
<br />Regulated Facility: CHEVRON STATION #96171* Faaltty ID FA0003834
<br />6633 PACIFIC AVE Account ID AR0003422
<br />STOCKTON, CA 95207 Issued 4/1/2004
<br />Billing Address:
<br />CHEVRON STATION #96171*
<br />PO BOX 6004 / L2375 -B3
<br />SAN RAMON, CA 94583
<br />7023.rpt
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