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<br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 304 E.Weber Ave.,Third Floor• Stockton,CA 95202-2708• Phone(209)468-3420
<br /> Donna Heran, R.E.H.S.,Director
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Permit
<br /> Program Permit Valid
<br /> Record ID Number Program Code and Description
<br /> PRO517962 PT0011797 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1!1/2003 To 12/31/2003
<br /> Hazardous Waste Generator Program:
<br /> California Health and Safety Code,Div.20,Chap_6.5,Art_2.13,Sec25100 et seq,-and Title 22,California Code of_R__.egulations,Chap.20-------------------------
<br /> -------------------------------- - --------------- - - - - -----------------------
<br /> PR0231628 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2003 To 12/31/2003
<br /> Underground Storage Tank Program:
<br /> California Health and Safety Code,Div.20-,Chap._6.7 and Title_232-California-Code-of Regulations,Chap_16--------------__--___-___-----------__-----_---_-----_-_------
<br /> ------------------------------- ------------------ ------- - -
<br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 10 12,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous interstitial Monitoring
<br /> 2360 9 390002316280504952 PT00081
<br /> 2360 8 390002316280504953 PT0008110 12,000 MIDGRADE UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2362 7 39000231.6280504951 PT0008108 12,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED continuous Interstitial Monitoring
<br /> Underground Storage Tank Permit Conditions
<br /> I) 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 /> the Environmental Health Department(EHD)and are considererd UST Permit Conditions. The approved
<br /> 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by
<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 Pian.
<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 /> 11) INYAR Mn,repair and/or removal pen-nits 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 anniversary 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 /> PERMIT(s)Valid only for: CHEVRON PRODUCTS USA
<br /> DBA: CHEVRON STATION
<br /> Tank Owner: CHEVRON USA
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility. CHEVRON STATION#92396* Facility ID FA0003835
<br /> 25651 N HWY 99 Account ID AR0003423
<br /> ACAMPO, CA 95220 Issued 5/1/2003
<br /> Billing Address:
<br /> CHEVRON STATION #92396*
<br /> PO BOX 6004
<br /> SAN RAMON, CA 94583
<br /> 7023.rpt
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