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<br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 600 E. Main St. • Stockton, CA 95202-3029 • 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 /> Program Permit
<br /> ermit
<br /> i Code and Description ermi
<br /> PR0513833 PT0010Valid
<br /> 02�SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 111/2011 To 12/31/2011
<br /> FIazardousAillitimbir"Eneraror rrnnram:
<br /> In order to maintain the permit to operate, Hazardous Waste Generators shall comply with California Health and Safety Code, Div.20,Chep.6.5,Art,2-13,
<br /> Sec_25100 et sq,and Title 22,California Code of Regulations.Chap:201
<br /> PR0231332 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2011 To 12/31/2011
<br /> Underground Storage Tank Program,
<br /> California Health and Safety Code, Div.20,Chap. and Title 23, California Code of Regulations, Chap: 16.
<br /> _—. ......... . .... __ --..--------- ----
<br /> P E Tank Tank Record ID Permit# CapacityContents Permit Status System Type Leak Detection
<br /> 2362 4 390002313320133204 PT0006589 10,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous IMernitial Monitoring
<br /> 2360 5 390002313320133205 PT0006593 2,000 OTHER Active,billable DOUBLE WALLED Continuous unerslitau Monitoring
<br /> 2360 7 390002313320133207 PT0006601 5,000 DIESEL Active,billable DOUBLE WALLED continuous Interstitial Monitoring
<br /> 2360 8 390002313320133208 PT0006603 2,000 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 systems)fails to remain in compliance with these Permit Conditions.
<br /> 2) In under 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 Operators)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 Environmental Health Department(EHD)and are considemrd 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 al I 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 Permiwe shall comply with the requirements of Title 23 CCR,Chap. 16,An.5,and the approved Emergency Response Plan.
<br /> 8) Written records ofalI monitoring performed shall be maintained on-site by the operator and be available for inspection for a periud 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 EFT)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 permit.
<br /> 13) This Permit to Operate shal I not be considered permission to violate any laws,ordinances or statutes army 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 may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s)Valid only for: CITY OF LODI
<br /> Tank Owner: LODI CITY OF
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility: LODI MUNI SERVICE CENTER Facility ID FA0003961
<br /> 1331 S HAM Ln Account ID AR0003575
<br /> LODI CA 95240 Issued 2/4/2011
<br /> Billing Address: ATTN : ACCOUNTS PAYABLE
<br /> LODI MUNI SERVICE CENTER
<br /> PO BOX 3006
<br /> LODI CA 95241-1910
<br /> 7028.rpt
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