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A NJO A QU I Environmental Health Department ill j N i y Jasjit Kang, REHS, Director SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE This permit is valid for Permit Status identified as "IN COMPLIANCE" Program Record ID Program Code and Description PR0518738 2300-UNDERGROUND STORAGE TANK FACILITY Underground Storage Tank Program: California Health and Safety Code,Div.20,Chap.6.7 and Title 23,California Code of Regulations,Chap.16. ....... ......... ......... ......... ......... ......... ......... ......... ......... ......... ......... ......... P/E Tank# CERS Tank ID Permit# Capacity Contents Permit Status System Type Leak Detection Permit Valid 2360 1 10184563-001 PT0012184 20,000 REGULAR UNLEADED IN COMPLIANCE DOUBLE-WALL Continuous Monitoring 1/1/2023 To 12/31/2023 2360 2 10184563-002 PT0012185 12,000 PREMIUM UNLEADED IN COMPLIANCE DOUBLE-WALL Continuous Monitoring 1/1/2023 To 12/31/2023 2360 3 10184563-003 PT0012186 8,000 DIESEL IN COMPLIANCE DOUBLE-WALL Continuous Monitoring 1/1/2023 To 12/31/2023 CDTFA(BOE)ID#: 250349248_ Underground Storage Tank Permit Conditions 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. 2) In order to maintain the operating permit,the owner and operator shall comply with the California Code of Regulations(CCR)Title 23,sections 2610-2717.7;and California Health&Safety Code,sections 25280-25296 and 25298-25299.6. 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 the Tank Owner and tank Operator receive a copy of the permit. 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 monitoring,response,and plot plans shall be maintained onsite with the permit. 5) The Permittee shall comply with the monitoring procedures referenced in this permit. 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 provide documentation of such servicing to this office. 7) In the event of a spill,leak,or other unauthorized release,the Perrnitee shall comply with the requirements of Title 23 CCR,Chap.16,Art.5,and the approved Emergency Response Plan. 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 thirty-six(36)months from the date the monitoring was performed. 9) The EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change. 10) The UST owner or operator shall notify the EHD at least 30 days before changing the substance currently stored in the underground storage tank. 11) 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 revocation. 12) Construction,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment. 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. PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause. PERMIT(s)Valid only for: CHEVRON PRODUCTS COMPANY(A DIVISION OF U.S.A INC.) Tank Owner: JACKSONS FOOD STORES INC. CERSID 10184563 Regulated Facility: CHEVRON STATION#212470/2222 Facility ID FA0014111 3400 MACARTHUR DR Account ID AR0023864 TRACY CA 95376 Issued 12/22/2022 Billing Address: CHEVRON STATION# 212470/2222* CHEVRON PRODUCTS COMPANY (A DIVISION OF U.S.A. INC.) PO BOX 6004, ATTN: PERMIT DESK SAN RAMON CA 94583 7124.rpt 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209-468-3420 F 209464-0138 1 www.sjgov.org/EHD