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<br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> A IV
<br /> 600 E. Main St. • Stockton,CA 95202-3029 • Phone(209)468-3420
<br /> p4Donna Heran,R.E.H.S., Director
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<br /> l4Y� m'k'-i Y ENVIRONMENTAL HEALTH, °
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> r PERMIT TO OPERATE
<br /> Program Permit
<br /> Permit
<br /> 5. Record ID Number Program Code and Description
<br /> Valid
<br /> t PRO521685 PT0014651 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2009 To 12/31/2009
<br /> ` Hazardous Waste Generator Program:
<br /> ik 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 seg and Title 22,California Code of Regulations,Chap. 20_
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<br /> PR0516248 23 UNDERGROUND STORAGE TANK FACILITY 1/1/2009 To 12/31/2008
<br /> Underground Storage Tank Pmarram: ;' °r sh <a
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<br /> California Health and Safety Code,Div.20,Chap.6.7 and Title 23, California Code of Regulations,Chap_ 16_
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<br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2362 1 390005162480515525 PT0011197 20,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 2 390005162480515526 PT0011198 15,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> Underground Storage Tank Permit Conditions - owi`A'A"A `"� 't k ` '" " '= 4
<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.
<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 Enviromnental Health Department(EHD)and are considererd UST Permit Conditions. The approved
<br /> monitoring,response,and plot plans shall be maintained onsite with the permit.
<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 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,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. '
<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 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 date of the issuance of this pennit. s
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<br /> t 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.
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<br /> s 14) A Conditional'Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated, a 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
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility: CHEVRON STATION #209167 _ Facility ID FA0012532
<br /> 1234 E YOSEMITE AVE y ��° Account ID
<br /> :rF th AR0020562
<br /> MANTECA CA 95336; k; Issued 2/4/2009
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<br /> Billing Address: ATTN CHEVRON STATIONS
<br /> CHEVRON STATION #209167
<br /> 5a � PO BOX 6003 t � ;
<br /> SAN RAMON CA ,945.83-0903
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