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SAN JOAI WIN COUNTY PUBLIC HEALTH SsrtVICES <br /> 304 E.WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 • PHONE(209)468-3420 <br /> KAREN FURST.M.D.,M.P.H., HEALTH OFFICER <br /> DONNA HERAN,R.E.H.S.,DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Permit <br /> Program Permit ram Code and Description Valid <br /> Record ID Number Preg111101 To 12131/01 <br /> pR0514354 PT0010557 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY <br /> Hazardous Wnetn generator P 9IMa : <br /> California Health-and Safety Code Div,20,Chap,6.5,AIt_?-13 Sec.25100 et seq,and Title 22-California- -- --ode of Regulations,Chap.20_____________ <br /> PRO231463 2300-UNDERGROUND STORAGE TANK FACILITY <br /> -------� 111/01 To 12131101 <br /> Underground Storage Tank PrOcIram: <br /> California Health and Safe Code Div,20,Chap_6.7 and Title 23 California Code of Regulations Chap_16--------------------- ------------ <br /> ty-- -- <br /> P/E lank# Tank Record ID Penni[# Capacity Contents Pemrit Status System Type Leak Detection <br /> UNLEADED Active DOUBLE WALLED INVENTORY REGMANUAL <br /> 2360 7 390002314630176301 ;70004245 12,000 DOUBLEWALLED INVENTORY REUMANUAL <br /> 2360 6 390002314630176306 PT0004243 12,000 UNLEADED Active DOUBLE WALLED INVENTORY RECIMANUAL <br /> 2362 5 390002314630176305 PT0004242 12,000 UNLEADED Active <br /> Underground Storage Tank Permit Conditions <br /> 1) The Permit to Operate wig become void if Annual Permit Fees and Service Fees are not paid and/or the USr system(s)fails to remain in compliance with these Permit <br /> Conditions. <br /> 2) In order to maintain the operating permit,the permit holder shall comply with the H&S Code,Div.20,Chap.6.7 and 6.75;and CCR,Title 23,Chap. 16 and 18,as wen as <br /> any conditions established by San Joaquin County. <br /> 3) If the Tank Operalm(s)is dfferent 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 shag <br /> ensure that both 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 Division(PHS/EHD)and am considerer)UST Permit <br /> Conditions. Copies of the Procedures and Emergency Response Plan most be attached to this permit or be available for review and/or inspection at the UST site. <br /> 5) The Pemittee shall comply with the monitoring procedures referrenced in this permit. <br /> 6) The Permittee shall perform testing and preventve maintenance on all leak detection monitoring equipment annually,or more frequently if specified by the equipment <br /> moms factumr,and provide documentation of such servicing to this office. <br /> 7) In the event of a spill,leak,or other unauthorized release,the Per mitee shag comply with the requirements of Tele 23 CCR,Chap.16,Art.5,and the approved Emergency <br /> Response Plan. <br /> 8) Written records of all monitoring performed shag be maintained on-site by the operatorand be available for inspection fora period of at least three)ears from the date the <br /> monitoring was performed. <br /> 9) The PHS/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 ofthe UST system(including change in tank contents or usage),the Permit to Operate will be subject to review, <br /> modification or revocation. <br /> 11) Construction,repair and/or removal pernits are required from the PHS/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 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#91848 <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: CHEVRON STATION #91848 Facility ID FA0003707 <br /> 1257 W YOSEMITE AVE Account ID AR0003286 <br /> MANTECA, CA 95336 Issued 3/29/2001 <br /> Billing Address: ATTN : CHEVRON USA PRODUCTS CO <br /> CHEVRON USA PRODUCTS CO <br /> PO BOX 6004 <br /> SAN RAMON,CA 94583 <br /> 7023.rpt <br />