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SAN JOAN COUNTY PUBLIC HEALTH &ICES <br /> 304 E.WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 • PHONE(209)468-3420 <br /> r KAREN FURST,M.D., M.EH., 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 Pmgmm Code and Description Valid <br /> Record Number 1/1/01 To 12/31101 <br /> PR0231057 2300-UNDERGROUND STORAGE TANK FACILITY <br /> Underground Storage Tank Program: <br /> __ _ <br /> Calif_omia Hea_It_h_a_nd Safety Code Div.20,Chap_6.7 and Title 23 California Code of Re ulatigns_ a <br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permrt Status System Type Leak Detection <br /> REGULAR UNLEADED AcOve DOUBLE WALLED INTERSTITAL MONITOR <br /> 2360 10 390002310570506495 PT0008876 12,000 DOUBLE WALLED INTERSTRAL MONROR <br /> 2362 9 390002310570506494 PT0008875 12,000 MIDGRADE UNLEADED Active DOUBLE WALLED INTERSTRAL MONROR <br /> 2360 8390002310570506493 PT0008874 12,000 PREMIUM UNLEADED Active <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 <br /> Conditions. <br /> 2) In order b maintain the operating permit,the permit holder shall complywith the H&S Cade,Div.20,Chap.6.7 and 6.75;and CCR,Title 23,Chap. 16 and 1 S,.as well as <br /> any Conditions established by San Joaquin County. <br /> 3) If the Tank Operator(s)is differ cot 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 <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 must be approved by the Environmental Health Divsion(PHS/EHD)and are considererd UST Permit <br /> t be attached to this permit or be available ble for review and/or inspection at the UST site. <br /> Conditions. Copies of the Procedures and Emergency Response Plan mus <br /> 5) The Permittee shall comply with the monitoring procedures referenced in this permit equipment H frequently y equipment <br /> 6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoringui ment annual or more fr uentl ifs specified b the a ui ment <br /> manufacturer,and provide documentation ofsuch 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 Tile 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 operttorand be available for inspection fora period of at least three years 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 permits 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 ofthe 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: SAINI,SURINDER SINGH <br /> DBA: CHARTER WAY CHEVRON <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Facility ID FA0003720 <br /> Regulated Facility: CHEVRON#92033* Account ID AR0003299 <br /> 508 W CHARTER WAY Issued 312912001 <br /> STOCKTON. CA 95206 <br /> Billing Address: ATTN : SURINDER SINGH SAINI <br /> CHEVRON#92033* <br /> 508 W CHARTER WAY <br /> STOCKTON, CA 95206 <br /> 7023.rpt <br />