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SAN JOAQUIN 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 />ENVIRONMENTAL HEALTH
<br />SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br />PERMIT TO OPERATE
<br />Permit
<br />Program Permit Valid
<br />Record ID Number Program Code and Description
<br />PR0514447 PT0010650 2220 - SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2003 To 12/3112003.
<br />Hazardous Waste Generator Program:
<br />California Health and Safety Code, Div. 20, Chap. 6.5, Art_ 2-13, Sec. 25100 et -eq,-- n-- Title 2-- California Code of Regulations, Chap. 20_
<br />--------------------------------------------------------- - - ---------------
<br />PR0231784 2300 - UNDERGROUND STORAGE TANK FACILITY
<br />1/1/2003 To 12/3112003
<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 />2360 7 390002317840178407 PT0005099 I U,Uvu DOUBLE WALLED continuous Interstitial Monitoring
<br />2360 6 390002317840178406 PT0005098 10,000 REGULAR UNLEADED Active, billable
<br />10,000 REGULAR UNLEADED Active, billable DOUBLE WALLED Continuous Interstitial Monitoring
<br />2362 5 390002317840178405 PT0005097
<br />BQ,E IQ# 44,ffs ;
<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 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 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 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 ne
<br />he Environmental Health Departrnt (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 />itee shall comply with the requirements of Title 23 CCR Chap. 16, Art. 5, and the approved Emergency Response Plan.
<br />7) In the event of a spill, leak, or other unauthorized release, the Perm
<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 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 />11) MW&t bn, 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 annual report documenting compliance with the UST Permit Conditions within 30 days of the anniversary 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) Valid only for:
<br />DBA:
<br />Tank Owner
<br />CHEVRON PRODUCTS USA
<br />CHEVRON STATION
<br />CHEVRON PRODUCTS CO
<br />THIS FOKM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br />Regulated Facility: CHEVRON STATION #96171*
<br />6633 PACIFIC AVE
<br />STOCKTON, CA 95207
<br />Billing Address:
<br />CHEVRON STATION #96171*
<br />PO BOX 6004
<br />SAN RAMON, CA 94583
<br />7023.rpt
<br />Facility ID FA0003834
<br />Account ID AR0003422
<br />Issued 5/1/2003
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