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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 Henan, RF-H.S., Director
<br />ENVIRONMENTAL HEALTH
<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 />PR0519074 PT0012289 2220 - SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2003 To 12/31/2003
<br />Hazardous Waste Generator Program:
<br />Califomia Health and Safety Code, Div. 20, Chap. 6.5, Art_ 2-13, Sec_ 25100 et seq, and Title 22, California Code of Regulations, Chap_ 20_
<br />PR0231706 2300 - UNDERGROUND STORAGE TANK FACILITY 1/1/2003 To 12/31/2003
<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 />P/E Tank # Tank Record ID Permit # Capacity Contents Permit Status System Type Leak Detection
<br />2360 7 390002317060505569 PT0008136 10,000 DIESEL Active, billable DOUBLE WALLED Continuous Interstitial Monitoring
<br />2360 8 390002317060505570 PT0008135 10,000 REGULAR UNLEADED Active, billable DOUBLE WALLED Continuous Interstitial Monitoring
<br />2360 9 390002317060505571 PT0008134 12,000 REGULAR UNLEADED Active, billable DOUBLE WALLED Continuous Interstitial Monitoring
<br />2362 6 390002317060505568 PT0008133 10,000 REGULAR UNLEADED Active, billable DOUBLE WALLED Continuous Interstitial Monitoring
<br />Underground Storage Tank Permit Conditions
<br />I) The Permit to Operate will become void if Annual Permit Fees and Service Fees arc 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 Persil to Operate is issued to a person other than the owner or operator of the tank, the Permitlee 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 Environmental Health Department (El -ID) and are considererd UST Permit Conditions. The approved
<br />monitoring, response, and plot plans shall be maintained onsite with the permit.
<br />5) The Perm ttee shall comply with the monitoring procedures referenced in this pemtit.
<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 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
<br />11) CeC}'t%Y&g1bn, repair and/or removal permits arc 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 dale(s) indicated.
<br />PERMITS TO OPERATE are NOT TRANSFERABLE
<br />and may be SUSPENDED or REVOKED for cause.
<br />PERMIT(s) Valid only for: FIRST INVESTMENT FLAG CITY INC
<br />DBA: CHEVRON (FLAG CITY)
<br />Tank Owner: RICHARD BOKIDES
<br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br />Regulated Facility. FLAG CITY CHEVRON
<br />6421 CAPITOL AVE
<br />LODI, CA 95242
<br />Billing Address:
<br />FLAG CITY CHEVRON
<br />6421CAPITAL AVE
<br />LODI, CA 95242
<br />7023.rp1
<br />Facility ID FA0000485
<br />Account ID AR0000484
<br />Issued 51112003
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