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SAN JOAQUPI I 06TY ENVII20NMENTAL HEALTH OPPARTMEENT " F
<br /> 1868 E.Hazelton Ave. • Stockton CA 95205-6232 • Phone(209)468-3420
<br /> Donna Heran,R.E.H.S.,Director 4
<br /> ENVIRONMENTAL HEALTH
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<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT 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 10/14/2014 To 12/31/2014
<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 rro
<br /> Se��51tseq,andI tie 22,California Code of Regulations,Chap.20.-- ------------------------ --- -- ----------------- --- ---- -------- -------- ----- -PR1784 2 _DERGROUND STORAGE TANK FACILITY 10/14/2014 To 12/31/2014
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<br /> California d Safety Code,Div._20,Chap.6.7 and Title 23,California Code of Regulations,Chap_16.
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<br /> P/E Tank# Ti;k Record 1D Permit Capacity Contents Permit Status System Type Leak Detection
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<br /> 2362 5 390002317840178405 PT0005097 10,000 REGULAR UNLEADED ACTIVE,BILLABLE DOUBLE-WALL Continuous Monitoring
<br /> 2360 6 390002317840178406 PT0005098 10,000 REGULAR UNLEADED ACTIVE,BILLABLE DOUBLE-WALL Continuous Monitoring ; fj
<br /> 2360 7 390002317840178407 PT0005099 10,000 PREMIUM UNLEADED ACTIVE,BILLABLE DOUBLE-WALL Continuous Monitoring
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<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
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<br /> established by San Joaquin County.
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<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 ay
<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 Environmental Health Department(EHD)and are considererd UST Permit Conditions. The approved 7 rs r
<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 /> 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 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 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 "y
<br /> revocation. e:-
<br /> 11) Construction,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment. $ -
<br /> 12) This Permit to Operate shall not be considered permission to violate any laws,ordinances or statutes of any other Federal,State or Local agency. t
<br /> U) A"Conditional"Permit maybe revoked if corrections specified on the inspection report are not completed by the date(s) indicated. a
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<br /> PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s)Valid only for: EDWARD R. MARSZAL ENTERPRISES, INC.
<br /> Tank Owner: AMERICAN PETROLEUM, LLC ry
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<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> PACIFIC AVENUE CHEVRON Facility ID FA0003834
<br /> Regulated Facility: r
<br /> 6633 PACIFIC AVE AccountlD AR0003422
<br /> STOCKTON CA 95207 Issued 10/21/2014
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<br /> Billing Address: ATTN EDWARD R. MARSZAL ENTERPRISES, x
<br /> INC.
<br /> PACIFIC AVENUE CHEVRON sk
<br /> P.O. BOX 1096
<br /> Carmichael CA 95609
<br /> 7023.rpt `x
<br /> 7 s.
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