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SAN JOA'1UIN COUNTY PUBLIC HEALTH SPRVICES 304 E.WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 • PHONE(209)468-3420 KAREN FURST, M.D.,M.P.H., HEALTH OFFICER DONNA HERAN,R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE retain Valid 0gramFermat Pro ram Code and Description Record lD Number g 111100 To 12131/00 PR023105 2300•UNDERGROUND STORAGE TANK FACILITY Underground Storage Tank Program: ---- —ea - -e ton California Health and Safely Code Div.20,Chap.6.7 and Title 23 CaliforniaCodeof RegulationsChap. 16, - - --- __ _ erm ap ci y n e or ve DOUBLE WALLED INTERSTITAL MONITOR 2360 9 390002310570506494 PT0008875 12,000 MIDGRADE UNLEADED Active DOUBLE WALLED INTERSTITAL MONITOR 2360 8 390002310570506493 PT0008874 . 12,000 PREMIUM UNLEADED Active Underground Storage Tank Permit Conditions s to remain N compliance with 1) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid and/or the UST system(s)fail these Permit Conditions. 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 well as any conditions established by San Joaquin County. 3) Perhrnittee shaft ensure)t is different the Tank Owner and iter,ank or ifthe OpemtorPe Permitto e�pporrpy of the permerate is issued it a person other dtan the owner or operator of the tank,the 4) UST Pernrt CondiBtiPro.educes and an Copieofthe Procedures and onse Emergency Responsmust be e Planemus[ achedtooethis 1permit or be available for review and/or are riin inspection UST site. 5) ththe�'ermittee 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 Permitee 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 three years from the date the monitoring was performed. 9) The PHS/EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change. 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 revocation. 11) Construction,repair and/or removal permits are required from the PHS/EHD prior to any change,repair or removal of UST system equipment. 12) The Permittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the anniversary date ofthe issuance ofthis permit. 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. 14) A"Conditional"Permit may be revoked if corrections specified on the inspection report are not completed by the dates) indicated. a PERMITS TO OPERATE are NOT TRANSFERABLE and may be SUSPENDED or REVOKED for cause. PERMIT(s)Valid only for: SAINT, SURINDER SINGH DBA: CHARTER WAY CHEVRON TNIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES Facility ID FA0003720 Regulated Facility: CHEVRON#92033" Account ID AR0003299 508 W CHARTER WAY Issued 912812000 STOCKTON, CA 95206 Billing Address: ATTN : SURINDER SINGH SAINI CHEVRON#92033' 508 W CHARTER WAY STOCKTON, CA&06 •