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<br /> SAN JOAQUIN COUNTY O�NMENTAL HEALTH DEPARTMENT + K 1
<br /> 600 E. Main St. • Stockton, CA 95202-3029 • Phone(209)468-3420
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<br /> Donna Henan,R.E.H.S.,Director
<br /> ENVIRONIV 9NIAL HEAM
<br /> SAN.IOAQUIN CQUN Y CERTIFIED UNLFIFJ)PROD iAM AGENCY
<br /> TU•OPERA •.
<br /> Progratg,l Permit : I'eltnit
<br /> ReeprdlD>, Number Program Code andDesci'ip[ion -
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<br /> Pf2Qt18:495 PT0012053 2220-SMALL QUANTITY MAZAIt OC S 4NAST�G�NERATOff FA�I�,ITY 1ifiJ2Q12 TO 'F'2131/2012
<br /> ;Hazardous Waste'Gtr„akor�Pro ram:
<br /> In order to maintain the permit to operate, Hazardous Waste Generators shall comply with California Heafth and Safety Code,Div.20,Chap.6,5,Art.2-13;
<br /> -'Sec.25100 et sec{ and Title 22,California Code of Regulations Chap 20 s
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<br /> PR0508090 23QO 'NDERGROUND STORAGE TANK FACILITY 1/1/2012 To 12/31/2012
<br /> -�rtderground Storage Tank Proo_ r r F
<br /> California Health and SafetyCode,DN 20 Cha 6 7 and Title 2 f.'allfomla'Code of Re ula ions Cha 1G r
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<br /> P/E Tank# Tank Record ILL pimrt# Capacity onteats rtnit Status Y$tp Type Detection
<br /> 2362 1 390005080900'0 FTQ009516 20,000 REGULAR UNLEADED Active,billable f70t )IVA►bEo Cont AmMs ktt»rstitial Monitoring
<br /> .2 6: s, ..;,./^r ,390005080900508092 PT0009517 15,000 PREMIUM UNLEADED Active,billable 1�U1tVALLED Continuous Interstitial Monitoring
<br /> Underground Storage Tank Permit Conditions y
<br /> 1) The Permit to Operate will become void if Annual Permit Felts and Service Fees are not paid and/or the UST system(�fi 410 t3Cm&iu in compliance with these Permit Conditions 4
<br /> 2) In order to maintain the operating permit,the owner coin I with the H&S Code,Div.20,Cha 6.7
<br /> 4Fu 61 �: P y p- a6s16;15,and CCR,Title 23,Chap.16 and 18,as well as any conditions
<br /> established by San Joaquin County:
<br /> 3) Ifilig Tmrik,Operator(s)is different from the TBidc:pwner,or if the Permit to Operate is issued to s person other than the ovvuer or operator of the tank,the Permittee shall ensure that both r
<br /> till Tatik'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(&FID)and are considererd UST Permit Conditions. The approved
<br /> monitoring,response,and plot plans shall be maintained onsite with the pemiit.
<br /> 5) The Pennittee shall comply with the monitoring procedures referenced in this permit. i
<br /> 6 The Permittee shall perform testing and preventive maintenance on all leak detection . _t
<br /> P b p A>4iI►tpring 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 spilt,leak,or other unauthorized release,the Permitee shat}a Pnpl v t the re%*ementspf Ttd�23 C(I2 Chap.16,Art 5,and the Spp>pvedjEmergency Response Plan ;t
<br /> 8) Written records ofall monitoring performed shall be maintained on-site by,th�"Qpeldtn and be available foFii pection for a period of at least three years Oio 'ibe date the monitoring was
<br /> performed.
<br /> 9) The EHD shaiX_be noki6tld;of any change in ownership or operation of the UST system within 30 daysAf such change.
<br /> 10) Upon any change to egttiipment,dysipn or operation of the US"f system(tnF11 1,hange in tarticcoljt&itts or usage)it @ P�anttto opgnite>iplj be Spbject tq resnety,modification or
<br /> revocation
<br /> 11) Construcpoq T paprapdYgr removal permits are(et}uu0d the EHD prior o any change,repay or removal of UST S StGtntequipment.
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<br /> 12} T4ig Pemut to
<br /> Qp4ratg shad rltlt .eonsideref�pertgtissinp to vietlatg.any haws,ordinances or statutes 9fnrty ot'Aifedejal,State or Local agency.
<br /> 13} A.t ►ruliaortal Permit rcyokpd rfcorreotroas s ct6ed nn ilia inspection report are not co .pletddby 4( date(s) indicated.
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<br /> PERMITS TO OPERATE ►w1<t JMNDED or,RE VQKEp few fra
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<br /> PERMIT(s)Valid ort/i6r .'CHEVRON PRODUCT
<br /> Tank Owner. CHEVRON#208117
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES 7.
<br /> CHEVRON#2081117""', Facility ID FA0007938
<br /> Regulated Facility. r �s
<br /> 755 S TRACY BLVD r
<br /> V §u _ ccountID
<br /> h A AR0014649
<br /> 3 TRACY CA 95376 Issued 2/10/2012 r '
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<br /> 9 ATTN ,''° PERMIT
<br /> 3 , £ CHEVRON #208117** d r t f w g
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<br /> PO BOX 6004 / L3275—B3 t
<br /> SAN RAMON CA 94583 4 �j'ff r 3 a k ¢Y }�
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