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<br /> SAN JO A _ COUNTY ENVIRONMENTAL HEALTH DEPARTIVYE F ;
<br /> 600 E.Main St. • Stockton, CA 95202-3029 • Phone(209)468-3420,.
<br /> s Donna Heran,R.E.H.S.,Director }.' ' _� ,
<br /> ENVIRONMENTAL HEALTH
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<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE ;
<br /> Program Permit Permit
<br /> Record ID Number Program Code and Description
<br /> = Valid 5t
<br /> PR0514273 PT0010476 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2012 To 12/31/2012
<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 etseq and Title 22,California Code of Regulations;Chap.20:
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<br /> PR0231766 2300-UNDERGRQUh1D STORAGE TANK FACILITY y 1/1/2012 To 12/31/2012
<br /> Underground-Storage Tank Prograrrt
<br /> California Health and Safety Code, Dlv.20,Chap.67 end Title 23,California Code of Regulations,Chap. 16.
<br /> ------------------------------------------------ -�. -----------------------------------
<br /> P/E Tank# Tank Record ID Permit# '• Capacity Contents Permit Status System Type Leak Detection
<br /> 2362 5 390002317660507190 PT0009250 15,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 6 390002317660507191 PT0009255 20,000 REGULAR UNLEADED Active, billable DOUBLE WALLED Continuous Interstitial Monitoring
<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 Conditions lk
<br /> 2) In order to maintain the operating permit,the owner and operator shall comply with the H&S Code,Div:20 Chafi,6,?and 6.75;and CCR,Title 23,Chap.16 and 18,as well as any conditions` '.
<br /> established by San Joaquin County. *.,
<br /> , If the Tank Operator(s)is different from the'rank 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 Enviromnerttal Health Department(EHD)and are considererd UST Pennit Conditions. The approved ,
<br /> monitoring,response,and plot plans shall be maintained onsite with the permit
<br /> "3) The Permittee shall comply with the monitoring procedures referenced in this pennrt. n-` may'
<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 of a spill,leak,or other unauthorized release,the Permitee shall comply with the requirements of Title 23 ECR,Chap. 16,Art.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 4r `y $�
<br /> 10) Upon any change in equipment,design or operation of the UST systgt ,including change in tank contents or usage)the Permit to Operate will be subject to review,modification or a�
<br /> revocation.
<br /> 11) Construction,repair and/or removal permits are required ttorpi.ft] Q:ptioi to any change,repair or removal of UST system equipment.
<br /> n�'R
<br /> 12) This Permit to Operate shall not be considered porl>ais;iti3 YtctlB p� aws,ordinances of",statutes of any other Federal,State or Local agency.
<br /> 13) A"Conditional'Permit may be revoked if correcthotr §pyFtftsdatq dtc iospection,rgport 8�e ttotcotxtgleted by the date(s) indicated (
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<br /> ' ` } ERMITS TO OPERATE may e S,
<br /> USI?�pl�t
<br /> V�lic ca�tiif for CHEVRON PRODUCTS� 1 , ,
<br /> Tarek Owner CHEVRON USA INC:,
<br /> , THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES "•;
<br /> CHEVRON STATION #99840* Facility ID FA0003717
<br /> Regulated Facility:
<br /> 4344 E WATERLOO RD
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<br /> " ,t�., �4 ka r �s Account AR00032
<br /> ou t ID 96
<br /> STOCKTON CA 95205 , Kt Issued
<br /> 3 ' < �' 4 2/10/2012
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<br /> 3 $0Billing Address: ATTN PERMIT DESK L2375
<br /> #99840*CHEt7xx r �rc .,ar-VRON STATION
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<br /> PO BOX 6004
<br /> w SAN RAMON CA 94583
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