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<br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 1868 E.Hazelton Ave. a Stockton,CA 95205-6232 •Phone(209)468-3420
<br /> Donna Heran,R.E.H.S.,Director
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit - Permit
<br /> Record ID Number Program Code and Description Valid -
<br /> PRO523950 PT0016320 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 111/2013 To 12/31/2013
<br /> Hazardous Waste Generator Program:
<br /> In order to maintain thepermit to operate,Hazardous Waste Generators shall comply with California Health and Safety Code,Div.20,Chap.6.5,Art.2-13,
<br /> ,Sec.2516 et seq and Title 22,California Code of Requlations,Chap.20,.......
<br /> PRO621738 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2013 To 17/31/2013
<br /> oder roun T nk Pro ram:
<br /> lifornia alth and Safety Code,Div.20,Chap.�§Jand Title 23,California Code of Regulations.Chap_16.
<br /> P arl Tank Record Permit# Capacity Contents Permit Status System Type Leak Detec[ton
<br /> 2372 1 390005217380515689 PT0014690 20,000 REGULAR UNLEADED Active,billable DOUBLE-WALL Continuous Interstitial Monitonng
<br /> 2370 2 390005217380515690 PT0014591 8,000 DIESEL Active,billable DOUBLE-WALL Continuous Interstitial Monitoring
<br /> 2370 3 390005217380515691 PT0014692. 12,000 PREMIUM UNLEADED Active,billable DOUBLE-WALL Continuous Interstitial Monitoring
<br /> BOE ID#: 44043147
<br /> Underground Storage Tank Permit Conditions
<br /> 1) 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 Conditions,
<br /> 2) In order to maintain the operating permit,the owner and operator 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
<br /> established by San Joaquin County.
<br /> 3) If the Tank Operators)is different 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 ensure that both
<br /> 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 Department(EIB))and an,considererd UST Permit Conditions. The approved
<br /> monitoring,response,and plot plans shall be maintained onsite with the permit.
<br /> 5) The Permittee shall comply with the monitoring procedures referenced 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 equipment manufacturer,and
<br /> provide documentation of such servicing to this office.
<br /> 7) In the event of 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.
<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 from the date the monitoring was
<br /> performed
<br /> 9) The 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 of the UST system(including change in tank contents or usage),the Permit to Operate will be subject m review,modification or
<br /> revocation.
<br /> 11) Construction,repair and/or removal permits arc required from the EHD prior to any change,repair or removal of UST system equipment.
<br /> 12) 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 /> 13) 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 may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s)Valid only for: JD SINGH SERVICE STATIONS, INC
<br /> Tank Owner: JD SERVICE STATION, INC
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> THORNTON CHEVRON FacilitylD FA0014762
<br /> Regulated Facility 9015 W WALNUT GROVE AccountlD AR0025117
<br /> THORNTON CA 95686 Issued 2/19/2013
<br /> Billing Address: ATTN : JD SINGH SERVICE STATIONS, INC
<br /> THORNTON CHEVRON
<br /> 44301 HUNTER TERRACE
<br /> FREMONT CA 94539
<br /> 7023p1
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