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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 304 E.Wrbcr Aye.,Third Floor• Stockton,CA 95202-2708 • Phone(209)468-3420
<br /> Donna Hermt,REH.S., Director
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Permit
<br /> Program Permit program Code and Description Valid
<br /> Record ID Number
<br /> PR0514354 PT0010557 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/112003 To 12/3112003
<br /> Hazardous Waste Generator Prlwram:
<br /> California Health and Safe Code,Div.20,Cha 6.5,Art.2-13,Sec.25100 et se and Title 22,California Code of Regulations,Chap.20.
<br /> ----------------------- -------I---- --------------------p'- -- ----------------- - - - -- ..9•------- ---------------------- ..........s
<br /> PR0231463 2300-UNDERGROUND STORAGE TANK FACILITY 11112003 To 1213112003
<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 390002314630176307 PT0004245 12,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED cor,muous Interstitial M000ang
<br /> 2360 6 390002314630176306 PT0004243 12,000 MIDGRADE UNLEADED Active,billable DOUBLE WALLED Continuous Intembbal Monitodno
<br /> 2362 5 390002314630176305 PT0004242 12,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Co t,nuou Interstitial Moritonnp
<br /> BOETC> pM- 9i :':•
<br /> Underground Storage Tank Permit Conditions
<br /> 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.
<br /> 2) 1n order to maintain the operating pemdt,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 I8,as well as any conditions
<br /> established by San Joaquin County.
<br /> 3) If the Tank Operoor(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 lank,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 most be approved by the Environmental Health Department(EIID)and art eonsiderenl UST Permit Conditions. The appmved
<br /> monitoring,response,and plot plans shall be maintained onsite with the permit-
<br /> 5)
<br /> ermit5) The Pemduee shall comply with the ntonitanng 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 ifspecitied by the equipment manufacturer,and
<br /> provide documentation of such servicing to this ogee.
<br /> 7) In the event of a spill,leak,or other unauthorimd release,the Permitre 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 Icast three years from the date the monitoring was
<br /> performed.
<br /> 9) The EHD shall be otificd 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) (NitffdkMat,repairand'or removal pcmdts 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 Permit Conditions within 30 days of the anniversary date of the issuance of this permit.
<br /> 13) This Pemrit to berate 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: CHEVRON USA PRODUCTS CO
<br /> DBA: CHEVRON STATION
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility. CHEVRON #9-1848 Facility to FA0003707
<br /> 1257 W YOSEMITE AVE Account ID AR0003286
<br /> MANTECA, CA 95336 Issued 5/112003
<br /> Billing Address:
<br /> CHEVRON USA PRODUCTS CO
<br /> PO BOX 6004
<br /> SAN RAMON, CA 94583
<br /> 702arpt
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