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SACT i"ObI 1`COJ*Piy Pi NM RAL HFA=DEPARTMENT
<br /> �04,E.V�Tie1 Ave.�:'I7>!ird F>tiotir A.SbDckton,CA 95202 2708.1'hone:(209)468-3420
<br /> Da ea Hatsmt,
<br /> AS Roar
<br /> NVIRONMENTAL HE LTi
<br /> $AN JOAQti COUNTY CERTIFIED UNIFIED P!ROGRAM_AGi+;NCY
<br /> PERMIT,TO OPERATE.
<br /> Program Permit Permit
<br /> Record 1D Number Program Code and Description' Valid
<br /> PFt0521685 . PT0014651 2220-SMALL QOANTITYHAZARDOUS WASTE gENERATOR FACILITY 11112007 To 121340t17.
<br /> Hazardous Waste Generator Pro(
<br /> ram:
<br /> In order to maintain thepermit to Kazatrdou$Waste Generators shalt bra rpiy with California.Hearth and Sefety,Code;Div.20,Chap,6.5,Art :i.;
<br /> Sec 2S1QO et sen and Tit 2 Calif nra Code'of ReSulafton's chap 20
<br /> 7- --_-- .___ ___.___ _:..__ _:-_ _ _ _ ___ ____ _ _ __
<br /> PR0516248 2300' DERGR0UND ST6 AGE`rANK PACIL1Ty : 111/2007 To, 1213412QQ7
<br /> U de roan Stora e T r'k"P o"ram:
<br /> Cellfomia Health and S fsty C w YO Chap 6.7__jnd Title 23 Caiifo-rrea Coda of�2eglulations_Chap f6
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<br /> 11a' "tank 0 A'shic.Record ID Permit Capacity Contents Pettnrt Status , Syatem Type" Leak Detection
<br /> .:2362 1 390005162480515525 PT0011197 20;000 REGULAR UNLEADED Active,billable DOUBLE WALLED" ': Continuous Interstitial Monitoring
<br /> 2$60 2 =190005162480515526 PT0011198, _15,000 REGULAR UNLEADED, /ACtIYa;tillable pOUBLEINALLEt) Continuous InterstitialMonitoring
<br /> Underground'Storage Tank Permit Conditions' .
<br /> 1).. The Permitto.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.WM these Permit Conditions.
<br /> 2) ..In order to maintain the operating,pemut,the owner and operator shall comply with the H&S Code,Div,20;Chap:6.7 and:6.75;and CCR,Tide 23,.(`b*16 and 18,as.well as any conditions
<br /> ysfablished.bySan Joaquin County,,
<br /> 3) Tf the Tank Operators)isdiffdrviit frdm iheTank Owner,or if the Permit,to Operate_is is1.suedto aperson tdher then tl6.owner or operator of the tank;the Permittee shall ensine ttiatbotti.
<br /> the Tank Owner and teak Operator receive a copy of the permit.
<br /> 4) Written Ivlonitoring Procedures and an Emergency Response plan must be approvpl by the FaJuonmental Health Department(EM)and are considererd UST Permit Coadid.ons.T applm'od`
<br /> monitoring;response,and.plot plans,shall be maintained onsite with the permit.'
<br /> 5) The Permittee-shall comply with t6emonitoring procedures referenced io*-q'pemnt,
<br /> 6) .The Permittee-shall perform testing and preventive maintenance on all leak deiection"monitoring equipmea a auntl y;or mote frequently if specified:,by.the.egtupment msnufsr tut6r and
<br /> provide docupientation of such servicing to this offge. -
<br /> 7) Ta the.etamt of a spill,:leak;or other nnatttho#izad release;the Pe�niitee Shall comply with the requiiemem of Tit<e 23 C,'GR,t�tsp:1B,•Art.3;aQd the approved mcrr _m Respohse:i'tan
<br /> 8), Writ(ea records 4f ail tnoititoriitg performed shall'be maintained on-site by the aperator,an,q beavailable forinspcl Lmrf�_ aperiod of at.lesstthree.years from the date the moniton�was
<br /> ppt"ormed. -
<br /> Q) ` The EHD shag lie notified o£any change m oftiiaship or operation of tie UST system within 30 days of such change.
<br /> IOj Opdq miry ob6rige it equipment,design 4o'-operation of the e UST system,(including change.in tank contents or:usage),tate Permit to,Operste wiii.be st ject tir cevievv,modsatioa of
<br /> revocxdoa -
<br /> 11) Construction,repair,and/or removal permits we required from the F,HD prior to any change,repair or removal of UST system eq
<br /> 12)
<br /> The"Pel4ittee shag submit an annual report documenting compliance:mith the UST Permit Conditions within 30 daysbf the daW of 011e issuance of this permit.
<br /> 33) gUis.Permit to Operate shall not be considered permission to violate any laws,ordinances or statutes of any other Fedeial;.State'or Local agency.
<br /> 10 'A"Conditional"Permit may be revoked if corrections specifted on the inspecUon-Mort are not completed by the dates) indicated:
<br /> PERMITS tr6PERATE are NOT TRANSFERABLE71
<br /> and;nta�►be SUSPEIydI?D or REVOKED for cause.
<br /> PERMIT(s)V$jd only for CHEVRON USA PRODUCTS CO
<br /> DBA: CHEVRON STAT
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY.ON THE PREMLSES
<br /> Regulated Facility:. CHEVRON STATION#209167 Facility.ID, FA0012532
<br /> 1234 E YOSEMITE AVE Account lD
<br /> AR00205ia2
<br /> MANTECA CA,95336 Issued'`211.3/2007
<br /> 0iliingAddress; ATTN c CHEVRON STATIONS INC..
<br /> CHEVRON STATION #209160
<br /> PO BOX'. 6003
<br /> SAN RAMON _ CA 94583=0903
<br /> ?o23.ryt -
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