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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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SAN JOAN'QIN COUNTY PUBLIC HEALTH SL"P VICES <br /> 304 E.WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 • PHONE(209)468-3420 <br /> KAREN FORST,M.D., M.P.H., HEALTH OFFICER <br /> DONNA HERAN,R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTYPERMIT CERTIFIED <br /> OPERATE PROGRAM AGENCY <br /> ermrt <br /> ogrordam smut Valid <br /> Program Code and Description <br /> RecID Number o8 111100 To 12131100 <br /> PR050708 PT0009204 2227-HAZARDOUS WASTE GENERATOR FACILITY <br /> Hazardous Waste Generator Program: <br /> California Health and Safety Code Div.20,Chap.6.5,Art.2-13 Sec.25100 et seq,and Title 22 California Code of Regulations,Chap.20. _ _ <br /> ¢ - 2300-UNDERGROUND STORAGE TANK FACILITY 111100 To 12131/00 <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. - - -- - r n <br /> _ e_ ____ <br /> _ _ _ _ _ ____ ______ ___ ___ _ <br /> Fitan <br /> cor erml ap Y <br /> on erml us ys m yp <br /> Active <br /> DOUBLE WALLED INVENTORY RECNANUAL <br /> 2360 6 390002314180505755 PT0008282 12,000 'f UNUUUULEWALLEU <br /> LEADED Active DOUBLE WALLED INVENTORY RECIMANUAL <br /> 2360 7 390002314180505756 PT0008281 12,000 gcMtWNLEADED09mIvh'1 Active <br /> BOE ID#: 44-031913 . - Y 1VS <br /> Underground Storage Tank Permit Conditions <br /> 1) The Permit to Operate will became void if Annual Permit Fees and Service Fees are not paid and/or the UST system(s)fails to remain in compliance with <br /> these Permit Conditions. <br /> 2) In order to maintain the operating permit,the permit holder shall comply with the H&S Code,Div.2Q Chap.6.7 and 6.75;and CCR,Title 23,Chap. 16 and <br /> 18,as well as any conditions established by San Joaquin County. <br /> 3) Ifthe Tank O�eramr(s)is different from the Tank Owner,or if the Pen it to Operate is issued[o a person other than the owner or operator of the tank,the <br /> Permittee shall 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)and are considererd <br /> UST Permit Conditions. Copies of the Procedures and Emergency Response Plan must be attached to this permit or be availlable for review and/or inspection <br /> 5) fh tncT <br /> h2"�Trmrttseerte 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 by the <br /> equipment manufacturer,and provide documentation of such 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 Title 23 CCR Chap. 16,Art.5,and the <br /> 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 least three years <br /> from the date the 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 my changein equipment,design or operation of the UST system(including change in tank contents or usage),the Permit to Operate will be subject to <br /> review,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 of the issuance <br /> 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 REV OKED for cause. <br /> PERMIT(s)Valid only for. CHEVRON PRODUCTS USA <br /> Tank Owner: CHEVRON USA PRODUCTS CO <br /> THIS FORh1 MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: CHEVRON USA INC#98264• Facility ID FA0003715 <br /> 3775 N TRACY BLVD Account ID AR0003294 <br /> TRACY, CA 95376 Issued 9/28/2000 <br /> Billing Address: ATTN : PERMIT DESK <br /> CHEVRON USA INC#98264' <br /> PO BOX 6004 <br /> SAN RAMON, CA ., 3 <br /> 0 . <br /> 7023.rpt <br />
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