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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 304 E.Weber Ave.,Third Floor a Stockton,CA 95202-2708 • Phone(209)468-3420
<br /> Donna Heran,R-E-H.S.,Director
<br /> SAN J9JN)=naWP1J7S. LID T
<br /> A ENCY
<br /> - PERMIT TO OPERATE _.
<br /> Program Permit Permit
<br /> Record ID Number Program Code and Description Valid
<br /> PRO513852 PT0010047 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2005 To 12/31/2005
<br /> Mazardous 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;
<br /> Sec.25100 et seq.,and TRle 22,California Code of Regulations,Chap. .
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<br /> PR0231665- 2300-UNDERGROUND STORAGE TANK FACILITY. - 111/2005 To 12/31/2005
<br /> Underground Storage Tank Program, -
<br /> California Health a_n_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# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2362 6 390002316650505758 PT0008285 12,000 REGULAR UNLEADED Active, billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 7 390002316650505759 PT0008286 12,000 PREMIUM UNLEADED. Active;billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 0 390002316650505760 PT0008287 12,000 MIDGRADE UNLEADED Active, billable DOUBLE WALLED ContinuouslnteratialMonitodng
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<br /> M"
<br /> Nuffim
<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) Ifthe Tank-Operalor(s)isdifferentfrom the Tank Owner,or ifthe Permit to Operate is issued to aperson other than the owner or operator ofthe tank,the Perminee shall ensure that both
<br /> the Tank Owner and tank Operator receive a copy ofthe 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 maintainedonsite 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 ifspecified by the equipment manufacturer,and
<br /> provide documentation ofsuch servicing to this office. -
<br /> 7) In the event ofa spill,leak,or other unauthorized release;thePermitee 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 ofal 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 ofthe UST system within 30 days of such change.
<br /> 10) Upon any change in equipment,design or operation ofthe 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 ERD prior to any change,repair or removal of UST system equipment.
<br /> 12) The Pernittee shall submit an annual report documenting compliance with the UST Permit 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 iaws,.ordinances or statutes of any other Federal,State or Local agency.
<br /> 14) A"Conditional"Permit may be revoked ifoorrections 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: CHEVRON PRODUCTS USA
<br /> DBA: CHEVRON STATION
<br /> Tank Owner: CHEVRON USA
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility CHEVRON USA INC#91452' - - Facility ID -FA0003714
<br /> 334 E MAIN ST Account to AR0003293
<br /> RIPON, CA 95366 Issued 2/10/2005
<br /> Billing Address: - --
<br /> CHEVRON USA INC #91452*
<br /> P0. BOX 6004 / L2375-B3
<br /> SAN ,RAMON, CA 94583 -
<br /> 7023.rp1 -
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