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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 304 E.Webeir Ave.,Third Floor a Stockton,CA 95202-2708• Phone(209)468-3420
<br /> Donna Heron
<br /> ,,REH.S.,Director
<br /> SAN J9A MM -TS. ETD A�MAG
<br /> ENCY
<br /> PERMIT TO OPERATE - -
<br /> Program Permit Permit
<br /> Record ID Number Program Code and Description Valid
<br /> PR0513852 PT0010047 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/112005 To 12/31/2005
<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 et seq,and Title 22,California Code of Regulations,Chap._20, . .--------__--------_ ----------------- ---------------------------------.-------------------------------
<br /> -
<br /> LIND STORAGE TANK FACILITY 1/1/2005 To 12131/2005
<br /> Underground Storage Tank Program:
<br /> alifornia Health and-Safety Code,Div.20 .7 and Title 23,--California- - - -'Regulation
<br /> Code of egulations,Chp_ 16:
<br /> ------------."— --- ----- - ------ -------------...— -- ------- --- --nts- - - - ------- -------------------------- -- — —
<br /> " ------------ ---- --
<br /> PIE Tan Tank Record to Permit 4 Capacity ContePermit Status System Type Leak Detection
<br /> 2362 6 390002316650505758 PT0008285 12,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring -
<br /> 2360 7 390002316650505759 PT0008286 12,000 PREMIUM UNLEADED Active, billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 8 390002316650505760 PT0008287 12,000 MIDGRADE UNLEADED Active, billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> BOE 10#: 44-0519f artf -
<br /> Underground Storage Tank Permit Conditions
<br /> I) The Permit to Opemte will become void ifAnnual Pemrit 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 Operator(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 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(ERD)and are cwnsidemrd UST Permit Conditions. The approved
<br /> monitoring,response,and plot plans shall be maintained onsite with the permit.
<br /> 5) The Pemrittee shall comply with the monitoring procedures referenced in this pemrit.
<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 ora spill,leak,or other unauthorized release,the Permitee shall comply with the requirements of Title 23 CCR,Chap. 16,Ail.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 to review,modification or
<br /> revocation.
<br /> 11) Construction,repair and/or removal permits are required from the ERD prior to may change,repair or removal of UST system equipment.
<br /> 12) The Pemrittec shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the date of the issuance 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 REVOKED for cause.
<br /> n .asssxsuraa,�sraaazat®
<br /> PERMIT(s)Valid only for: CHEVRON PRODUCTS USA
<br /> DBA: CHEVRON STATION
<br /> _ Tank Owner: CHEVRON USA
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY O\THE PREMISES R
<br /> Regulated Facility: CHEVRON USA INC#91452* Facility ID FA00037'M
<br /> 334 E MAIN ST Account ID AR00032.93
<br /> RIPON, CA 95366 Issued 2/1012005
<br /> Billing Address:
<br /> CHEVRON USA INC #91452*
<br /> PO BOX 6004 / L2375-B3
<br /> SAN RAMON, CA 94583
<br /> 7023.rpt
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