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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> r w v-00 E Main St. • Stockton,CA 95202-3029 o Phone(209)468-3420 "sfb
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<br /> �1 Donna Heran,R.E.H.S., DirectorI�r 's
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<br /> r ENVIRONMENTAL HEALTH
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<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
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<br /> PERMIT TO OPERATE
<br /> ` Program Permit permit
<br /> ` µ Record ID Number Program Code and Description Valid
<br /> PRO514447 PT0010650 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY, 1/1/2009 To 12/31/2009
<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_ a
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<br /> PR0231784 2300.-UNDERGROUND STORAGE TANK FACILITY 1/1/2009 To 12!31/2009
<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_
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<br /> P!E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2362 5 390002317840178405 PT0005097 10,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous interstitial Monitoring
<br /> 2360 6 390002317840178406 PT0005098 10,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 7. .390002317840178407 PT0005099 10,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring ,
<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 these Permit Conditions i,
<br /> 5 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. s
<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. fi
<br /> °> 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Department(EHD)and are considererd UST Permit Conditions The approved
<br /> monitoring,response,and plot plans shall be maintained onsite with the permit.
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<br /> 5) The Permittee shall comply with the monitoring procedures referenced in this permit
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<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 t
<br /> 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 approved Emergency Response Plait
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<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 /> revocation.
<br /> 11) Construction,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment. 6� m p3 tBsi
<br /> 12) The Permittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the date of the issuance of this permit ,�V
<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 bray be revoked if corrections specified on the inspection report are not completed by the date(s) indicated. t`r� t T i
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<br /> PERMITS TO OPERATE are NOT TRANSFERABLE -
<br /> �'� and may be SUSPENDED or REVOKED for cause.
<br /> F PERMIT(s)Valid only for: CHEVRON PRODUCTS USA _. , r
<br /> Tank Owner: CHEVRON PRODUCTS CO
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
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<br /> Regulated Facility: CHEVRON STATION#96171* a Facility ID
<br /> r FA0003834 }
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<br /> 6633 PACIFIC AVE r " a r` Account ID AR0003422; �"
<br /> q STOCKTON CA 95207 k G :1 Issued 2 st �
<br /> /4/200g
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<br /> Billing Address
<br /> CHEVRON STATION #96171* `t 0
<br /> 4 � PO BOX 6004 / L2375 B3
<br /> SAN RAMON CA 94583
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