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�SAN OAQUICOUNTY ENVIRONMENTALHEALTH410)EPARTMENT
<br />304 E. Weber Ave., Third Floor • Stockton, CA 95202-2708 • Phone (209) 468-3420
<br />Donna Heran, R.&H.S., Director
<br />SAN A" QiMTY CER'TIFIEIS A& AGENCY
<br />PERMIT TO OPERATE
<br />Program Permit Permit
<br />Record ID—Ftu`mEier Prograt�Code and Description Valid
<br />PT0012289 2220 SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2005 To 12/31/2005
<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 seq,_ and Title 22, California Code of Regulations, Chap._20_
<br />PR0231706 2300 - UNDERGROUND STORAGE TANK FACILITY 1/1/2005 To 12/31/2005
<br />Underground Storage Tank Program:
<br />Cal-ifornia- - -
<br />Health and --Safety Code,_Div.- 20, Cha-p._6.7_and Title 23,_California Code_of Regulatio, Cha-p__16---------------------------------------------------------------
<br />---------- - ------------ - --------- ns - ----
<br />P/E Tank # Tank Record ID Permit # Capacity Contents Permit Status System Type Leak Detection
<br />2362 6 390002317060505568 PT0008133 .10,000 REGULAR UNLEADED Active, billable DOUBLE WALLED Continuous Interstitial Monitoring
<br />2360 7 390002317060505569 PT0008136 10,000 REGULAR UNLEADED Active, billable DOUBLE WALLED Continuous Interstitial Monitoring
<br />2360 8 390002317060505570 PT0008135 10,000 DIESEL Active, billable DOUBLE WALLED Continuous Interstitial Monitoring
<br />2360 9 , 390002317060505571 PT0008134 12,000 PREMIUM 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 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 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.
<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
<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.
<br />12) The Permittee shall submit an annual report documenting compliance with the UST Pemtit Conditions within 30 days of the 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: FIRST INVESTMENT FLAG CITY INC
<br />DBA: CHEVRON (FLAG CITY)
<br />Tank Owner: FIRST INVESTMENT FLAG CITY, INC
<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 />6421 CAPITOL AVE
<br />LODI, CA 95242
<br />7023.rpt
<br />Facility ID FA0000485
<br />Account ID AR0000484
<br />Issued 2/10/2005
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