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BILLING 1998-2006
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231418
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BILLING 1998-2006
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Entry Properties
Last modified
11/28/2023 3:26:34 PM
Creation date
11/6/2018 10:39:04 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
1998-2006
RECORD_ID
PR0231418
PE
2361
FACILITY_ID
FA0003715
FACILITY_NAME
Tracy Blvd Chevron
STREET_NUMBER
3775
Direction
N
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
3775 N TRACY BLVD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\T\TRACY\3775\PR0231418\BILLING\BILLING 1998-2006.PDF
QuestysFileName
BILLING 1998-2006
QuestysRecordDate
5/25/2016 3:43:08 PM
QuestysRecordID
3092628
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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f <br /> ✓� SAN JOA.rrdIN COUNTY PUBLIC HEALTH S-m*VICES <br /> 304 E.WEBER AVE.THIRD FLOOR • STOCKTON,CA 95202 • PHONE(209) 465-3420 <br /> KAREN FURST,M.D.,M.P.H., HEALTH OFFICER <br /> DONNA RERAN,R.E.H.S.,DIRECTOR ENVIRONMENTAL HEALTH DTWSION <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 111101 To 12131101 <br /> PR0507083 P:029204 2227-HAZARDOUS WASTE GENERATOR FACILITY <br /> Hazardous Waste Generator Prooram <br /> Califomia Health_2 n_d_ safety Code Div_20,Chap_6.5_Art_-- Sec.251-0 et -- and Title 22 Cal_ifo_mia Code of Regulations,Chap.11 101 To 12/31101 <br /> PR0231418 2300-UNDERGROUND STORAGE TANK FACILITY <br /> Underaround Storage Tank Program: ' <br /> Califomia Hea_lt_h_a_nd Safety Cade Div,20,Chap,6.7 and Title 23 Califomia Code of Regulations Chap_16_-___ <br /> P/E Tank# Tank Accord ID Petmi[# Capacity COnlentS PCmut SfamS DOUBLE W ED INTERSTITAtL MONITOR <br /> 2362 5 390002314160505754 PT0008283 12,000 REGULAR UNLEADED Active DOUBLE WALLED INTER......MONITOR <br /> 2360 6 390002314180505755 PT0008282 12,000 MIDGRADE UNLEADED Active DOUBLE WALLED INTERSTRAL MONITOR <br /> 2360 _ 7 390002314180505756 PT0008281 12,000 PREMIUM UNLEADED Active <br /> Underground Storage Tank Permit Conditions <br /> 1) The Per nit to Operate will become void if Annual Per nit 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 to maintain the operating permit,the per mit 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 <br /> any conditions established by San Joaquin County. <br /> 3) If the Tank Operator(s)is different from the Tank Owner,or if the Permit to Operate is issued to a person other than the ovner 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 Division(PHS/EHD)andare considererd UST Permit <br /> Conditions. Copies of the Procedures and Emergency Response Plan must be attached to this permit or be available for review and/or inspection at the UST site. <br /> The Permittee shall comply with the monitoring procedures referrenced in this permit. <br /> 6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently if specified bythe equipment <br /> manufacturer,and provide documentation ofsuch servicingto this office. <br /> 7) In the event of a spill,leak,or other unauthorized release,the Permitee shall complywith the requirements of Tale 23 CCR,Chap. 16,Art.5,and the approved Emergency <br /> Response Plan. <br /> 8) Written records of all monitoring performed shall be maintained on-site bythe operatorand be available for inspection fora period of at least three years from the date the <br /> monitoring was performe(i <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 anychange in equipment,design or operation ofthe UST system(including change in tankcontents or usage),the Permit to Operate will be subject In 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 USF Permit Conditions within 30 days of the anniversary date of the issuance of this permit. <br /> 13) This Pernit 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 PRODUCTS USA <br /> Tank Owner: CHEVRON USA PRODUCTS CO <br /> THIS FORM M1IUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Facility ID FA0003715 <br /> Regulated Facility: CHEVRON USA INC#98264' Account ID AR0003294 <br /> 3775 N TRACY BLVD Issued 3/2912001 <br /> TRACY. CA 95376 <br /> Billing Address: ATTN : PERMIT DESK <br /> CHEVRON USA INC#98264' <br /> PO BOX 6004 <br /> SAN RAMON. CA 94583 <br /> 7023.rpt r <br />
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