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✓� <br /> SAN JOA(�vIN COUNTY PUBLIC HEALTH SEa,%ICES <br /> 304 E.WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 • PHONE(209)468-3420 <br /> KAREN FURST,M.D.,M.P.H., HEALTH OFFICER <br /> DoNNA HERRN,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 /> PmgrdPermit Program Code and Description Valid <br /> Reecocord m Number <br /> PR0514354 PT0010557 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1!1/01 To 12/31/01 <br /> Hazardous Waste Generator Procram: <br /> California Health and C_od_e_Di_v.20,Chap.6.5_Art_2-13 Sec. ----- -q rjd Title - Calif-----_o_d_e_o_f_R_e_gulations,Chap.20_____________ <br /> Pio-23463 NDERGROUND STORAGE TANK FACILITY 111101 To 12/31/01 <br /> Pio-23463 <br /> UndergroundSt ra a Tank <br /> California Health and Safety ____iv_20_Chap_6.7 and Title 23 California Code of Regulations Chap_16_________________________________ <br /> PIE Tank# Tank Record ID permit# Capacity Contents Permit Stains System Type Leak Detection <br /> 2360 7 390002314630176307 PT0004245 12,000 UNLEADED Active DOUBLE WALLED INVENTORY REG&VWUAL <br /> 2360 6 390002314630176306 PT0004243 12,000 UNLEADED Active DOUBLEWALLED INVENTORY REGMANUAL <br /> 2362 5 390002314630176305 PT0004242 12,000 UNLEADED Active DOUBLE WALLED INVENTORY RECM NUAL <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 md/cr the UST system(s)fails to remain in compliance with these Permit <br /> Conditions. <br /> 2) In order to maintain the operating permit,the perm's 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 Operaror(s)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 <br /> en sure 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 consider end 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 /> 5) 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 by the equipment <br /> manufacturer,and provide documentation of such servicing to this office. <br /> 7) In the event of a spill,leak,or other unauthoriaedreimse,the Permit:e shag complywith the requirements of Title 23 CCR,Chap.16,Art.5,andthe appmved Emergency <br /> Response Plan. <br /> 8) Written records of all monitoring performed shag be maintained on-site by the operatorand 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 of the USF 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 Pam&ttee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of are anniversary date of the issuance ofthis 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: CHEVRON USA PRODUCTS CO <br /> DBA: CHEVRON STATION#91848 <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: CHEVRON STATION#91848 Facility ID FA0003707 <br /> 1257 W YOSEMITE AVE Account ID AR0003286 <br /> MANTECA. CA 95336 Issued 3/29/2001 <br /> Billing Address: ATTN : CHEVRON USA PRODUCTS CO <br /> CHEVRON USA PRODUCTS CO <br /> PO BOX 6004 <br /> SAN RAMON,CA 94583 <br /> 7023.rpt `,e <br />