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SAN JOAQ IN COUNTY PUBLIC HEALTH 58'• CES <br /> 304 F.WEBER AVE„THIRD FLOOR • STOCKTON,CA 95202 • PHONE(209)468-34'.'1 <br /> KAREN FORST,M.D.,M-P.H.,HEALTH OFFICER <br /> DONNA RERAN,R.E.H.S.,DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> cnmt <br /> Valid <br /> =r% <br /> emit Program Code and Description <br /> Record lD Number 111100 To 12131100 <br /> PR051435 PT0010557 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY <br /> Hazardous Waste Generator Program_ <br /> 111100 To 12/31100 <br /> California Health and Safety Code Dlv.20,Chap.6.5,Art.2-13 Sec.251 DO et seq,and Title 22 California Code of Regulations,Chap. <br /> - - - -- - 2300-UNDERGROUND STORAGE TANK FACILITY <br /> PR023146 <br /> Underground Storage Tank Program: <br /> _ _ _ - a in <br /> California Health and Safety Code Div_20,Chap:6.7 and Title 23 California Cone of Regulations s i Chap. <br /> _ _ __ e <br /> - Le <br /> - _ I a ly <br /> we <br /> UNLEADED Active DOUBLE WALLED INVENTORY RECIMANUAL <br /> JOU 12360 6 390002314530176306 PT0004243 12,000 UNLEADED Active DOUBLE WALLED INVENTORY REGNIANUAL <br /> 2360 5 390002314630176305 PT0004242 12,000 <br /> BOE ID#: 44-031913 <br /> LUndergr0 o 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 <br /> these Permit Conditions. <br /> 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. Ib and <br /> 18,as well as any conditions established by San Joaquin County. <br /> 3) If the Tank Operator(s)is different fmm the Tank Owner,or if the Permit to Operate is issued to a person other than the owner or operator oftbe 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 considereal <br /> UST Pemrit Condnions. Copies of the Procedures and Emergency Response Plan must be attached to this permit or be available for review and/or inspection <br /> 5) �he U <br /> e YermrSTttseeue 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 annual ly,or more frequently if specified by the <br /> equipment manufacturer,and provide documentation of such servicing to this office. <br /> 7) In the event o fa spill,leak,or other unauthorized release,the Pernitee shall comply with the requirements of Title 23 CCR Chap. 16,An.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 any 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 /> r <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 /> 48 Facility ID FA0003707 <br /> CHEVRON STATION#918 <br /> Regulated Facility: Account ID AR0003286 <br /> 1257 W YOSEMITE AVE Issued 912812000 <br /> MANTECA, CA 95336 <br /> Billing Address: ATTN : CHEVRON USA PRODUCTS CO <br /> CHEVRON USA PRODUCTS CO <br /> PO BOX 6004 <br /> SAN RAMON, CA ''583 <br /> 7023.rpt <br />