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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.Weber Ave.,Third Floor a Stodaon.CA 95202-2708 a Phone(209)468-3420 <br /> Donna Heraa, 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 m Number Program Code and Description Valid <br /> PRO514354 PT0010557 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2004 To 12/3112004 <br /> Hazardous Waste Generator Program: <br /> In order to maintain the permit to operate,Hazardous Waste Generators shall comply With California Health and Safety Code,Div.20,Chap.6.5,Art.2-13, <br /> Sec.25100_at seg,_and Tide 22,California Code of Regulations,Chap_20__---_____--____________-_____.______.___._ ...................__----. <br /> PR0231463 2300-UNDERGROUND STORAGE TANK FACILITY 11112004 To 12J311120" <br /> Underground Storage Tank Program: <br /> CaliforniaHealth andSafety Code:Div.20,Chap.6.7 and Title 23,California Code of Regulations,Chap:16.............. .. ----_______--- <br /> PE Tank= Tank RecordlD Permit# Capacity Contents Permit Status System Type Leak Detection <br /> 2360 7 390002314630176307 PT0004245 12,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Contlnuous mterstilial Manuonng <br /> 2360 6 390002314630176306 PT0004243 12,000 MIDGRADE UNLEADED Active,billable DOUBLE WALLED continuous Intenabal Monitoring <br /> 2362 5 390002314630176305 PT0004242 12,000 REGULAR UNLEADED Active,billable DOUBLE WALLED continuous Intersnaal Monitoring <br /> BOE ID#-. 44-031913:,:;7,n, <br /> Underground Storage Tank Permit Conditions <br /> I) The Permit to Operate will become void i f 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 pemrit,the owner and operator shall comply with the HSS Cade,Div.20,Chap.6.7 and 6.75;and CCR,Title 23,Chap.16 and 18,u well as any condition <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 enure 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(EHD)and are considererd UST Permit Condition. The approved <br /> monitoring.response,and plot plans shall be maintained onsite with the permit. <br /> 5) The Parmeae shall comply with the monitoring procedures referenced in this pemut <br /> 6) The Perminee 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 a spill,leak,or other unauthorized release,the Permitee shall comply with the requirements of Title 23 CCR,Chap.16,An.5,and the approved Emergenn 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 retired 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 to review,modification or <br /> 11) M&9 n,repair and/or removal peroms are required from the EHD prior m any change,repair or removal of UST system equipment <br /> 12) The Permittee shall submit an annual report documenting compliance with the UST Perot Conditions within 30 days of the dare of the issuance of this pemrit <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"Penit maybe revoked if corrections specified on the inspection report are not completed by the dates) 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 <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility. CHEVRON #9-1848 Facility ID FA0003707 <br /> 1257 W YOSEMITE AVE Account ID AR0003286 <br /> MANTECA, CA 95336 Issued 4/1/2004 <br /> Billing Address: <br /> CHEVRON USA PRODUCTS CO <br /> PO BOX 6004 <br /> SAN RAMON, CA 94583 <br /> 70M apt <br />