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SAN MOM COUNTY PUBL-IC.HEALTH41WICES 304 E.WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 • PHONE(209) 465-3420 KAREN FURST,M.D., M.P.H., HEALTH OFFICER DONNA HERRN;R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Program Permit t Valid Permirmi Record ID Number Program Code and Description PR0231066 2300-UNDERGROUND STORAGE TANK FACILITY 111/01 To 12/31101 Underground Storage Tank Program, California Health and Safety Code Div_20,Chap_6.7 and Tille 23 California Code of Regulations Cha _t6_ __ __ ------ - --p ---------------------- P/E Tank# Tank Record ID Permit# Capacity Contents Pemdt Sim System Type Leak Detection 2362 2 390002310660504887 PT0007490 10,000 DIESEL Active DOUBLE WALLEO IN I LKS I ITAL MONITOR Underground Storage Tank Per Conditions 1) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid and/or the UST syskm(s)fails to remain in compliance with these Permit Conditions. 2) In order to maintain the operating permit,the permit holder 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 established by San Joaquin County. 3) If the Tank Operator(s)is d ifferent 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 PCmrittee shall ensure that both the Tank Owner and tank Operamr receive a copy of the permit. 4) Writkn Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Division(PHS/EHD)and are considerm!UST Permit Conditions. Copies of the Procedures and Emergency Response Plan must be attached to this permit or be available for review and/or inspection at the UST site. 5) The Permittee shall comply with the monitoring procedures referrenced in this permit. 6) The Permittee shall perform testing and prevenfve maintenance on all leak detection monitoring equipment annually,or more frequently if specified by the equipment menu factoter,and provide documentation of such servicing to this office. 7) In the event of a spill,leak,or other unauthorized release,the Per mike shall comply with the requirements of Tile 23 CCR,Chap.16,Art.5,and the approved Emergency Response Plan. 8) Written records of all monitoring performed shall be maintained on-site bythe opemtorand be available for inspection fora period of at least three years from the date the monitoring was performed. 9) The PHS/EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change. ]0) Upon any change in equipment,design or operation ofthe UST system(including change in tank contents or usage),the Per mit to Operate will be subject in review, modification or revocation. 1 I) Construction,repair and/or removal permits are required from the PHS/EHD prior to any change,repair or removal of UST system equipment. 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 ofthis permit. 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. 14) A"Conditional'Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated. PERMITS TO OPERATE are NOT TRANSFERABLE and may be SUSPENDED or REVOKED for cause. PERMIT(s)Valid only for: U S SPRINT INC DBA: U S TELECOM Tank Owner: U S TELECOM THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES Regulated Facility: U S SPRINT Facility ID FA0003819 3807 CORONADO AVE Account ID AR0003406 STOCKTON. CA 95204 Issued 3/29/2001 Billing Address: ATTN : US SPRINT-MATT RIGGS U S SPRINT 6480 SPRINT PKWY 58822 OVERLAND PARK, KS 66251 7023.rp1