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SAN JdkUIN COUNTY PUBLIC HEALTH VICES <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 /> Program Permit Permit <br /> Record ID Number Program Code and Description Valid <br /> PRO513852 PT0010047 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/01 To 12131/01 <br /> Hazardous Waste Generator Program: <br /> California Health and Safety Code Div_20.Chap_6.S,Art_2-13 Sec.25100 et seg,and Title 22 California Code of Regulations_C_ha_p.20 ______ _ __ <br /> PR02316652300-UND,-RGROUND STORAGE TANK FACILITY 1/1/01 To 12/31/01 <br /> Underground Storage Tank Program: ' <br /> California Health and Safety Code Div_20, Chap_6.7 and Title 23 California Code of Regulations Chap_16_________________________________ <br /> PIF Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection <br /> 2360 8 390002316650505760 PT0008287 12,000 UNLEADED Active DOUBLE WALLED INVENTORY REGMANUAL <br /> 2360 7 390002316650505759 PT0008286 12,000 UNLEADED Active DOUBLE WALLED INVENTORY REC/MANUAL <br /> 2362 6 390002316650505758 PT0008285 12,000 UNLEADED Active DOUBLE WALLED INVENTORY REGMANUAL <br /> BOE•16#5`4�=08�9;i3��--,�: <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 <br /> Conditions. <br /> 2) In oiler to maintain the operating permit,the permit holder shall complywith the H&S Code,Div.20,Chap.6.7 md6.75;and CCR,Title 23,Chap.16 and 18,as well as <br /> any conditions established by San Joaquin County. <br /> 3) ifthe 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 <br /> 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)andare consider erd UST Permit <br /> Conditions. Copies of the Proceduresand Emergency Response Plan must be attached tothis parrot or be available for review and/or inspection at the UST site. <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 bythe equipment <br /> manufacturer,and provide documentation ofsuch servicingto this office. <br /> 7) In the event of a spill, leak,or other unauthorized release,the Permitoe shall complywith the requirements of Title 23 CCR,Chap.16,Art.5,andthe approved Emergency <br /> Response Plan. <br /> 8) Writan records of all monitoring performed shall be maintained on-site by the operstorand 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 UST 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 Permittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the anniversary date ofthe 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 /> PERMIT(s)Valid only for: CHEVRON PRODUCTS USA <br /> Tank Owner: CHEVRON USA <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: CHEVRON USA INC#91452' Facility ID FA0003714 <br /> 334 E MAIN ST Account ID AR0003293 <br /> RIPON, CA 95366 Issued 3/29/2001 <br /> Billing Address: ATTN : PERMIT DESK <br /> CHEVRON PRODUCTS USA <br /> PO BOX 6004 <br /> SAN RAMON, CA 94583 <br /> 7023.rpt 0 0 <br />