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SAN JOAeIN COUNTY PUBLIC HEALTH Sk..NICES <br /> 304 E.WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 • PHONE(209) 468-3420 <br /> KAREN FURST, M.D., M.P.H., HEALTH OFFICER <br /> DONNA HERRN,R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Permit <br /> Program Permit <br /> Record 11) Number Program Code and Description Valid <br /> PR0514006 PT0010201 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/01 To 12131/01 <br /> Hazardous Waste Generator Program: <br /> California Health ad Code_Div.20,Chap.6.5,Art_2-13 Sec.25100 et seg,and Title 22 California Code of Regulations,Chap.20___-----__-- <br /> PR0231893 NDERGROUND STORAGE TANK FACILITY <br /> --- 1/1/01 To 12/31/01 <br /> Undo r nit St ra a Tank <br /> P <br /> California Health and Safety Code D_iv.20,Chap_6.7 and TlIe 23 Califomia Code of Regulations Chap_16____________ _____________________ <br /> - -- P ty <br /> PIE Tank# Tank Record ID Permit# Ca aci Contents Permit Status System Type Leak Detection <br /> 2360 4 390002318930506062 PT0008902 5,000 DIESEL Active DOUBLE WALLED AUTOMATIC TANK GUAGE <br /> 2362 3 390002318930506061 PT0008901 10,000 UNLEADED Active DOUBLE WALLED AUTOMATIC TANK GUAGE <br /> BID E,ID#:'4 5631914.z`Y•`" <br /> Underground Storage Tank Permit Conditions <br /> 1) The Per nit 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 <br /> Conditions. <br /> 2) In order to maintain the operating permit,the per mit holder shall complywith the H&S Code,Div.20,Chap.6.7 and 6.75;and CCR,Title 23,Chap.16 and IS,as well as <br /> any conditions established by San Joaquin County. <br /> 3) If the Tank Operamr(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 shag <br /> ensure that both 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 Division(PHS/EHD)andare considererd UST Permit <br /> Conditions. Copies of the Procedures and Emergency Response Plan most be attached to this permit or be available for review and/or inspection at the USC site <br /> 5) The Permittee shall comply with the monitoring procedures referrenced 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 <br /> menu facturer,and provide documentation of such servicing to this office. <br /> 7) In the event of a spill,leak,or other unauthorized release,the Permiee shag comply with the requirements of Title 23 CCR,Chap.16,Art.5,and the approved Emergency <br /> Response Plan. <br /> 8) Written records of all monitoring performed shag be maintained on-site by the operatorand be available for inspection fora period of at least three years from the date the <br /> monitoring was performed. <br /> 9) The PHS/EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change. <br /> 10) Upon anychange in equipment,design or operation ofthe UST system(including change in tankconlents or usage),the Permit to Operate will be subject to review, <br /> modification or revocation. <br /> 11) Construction,repair and/or removal permits are required from the PHS/EHD prior to any change,repair or removal of UST system equipment. <br /> 12) The Pernittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the anniversary date ofthe issuance ofthis 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: PACIFIC BELL . <br /> DBA: PACIFIC BELL UE-708 <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Facility ID FA0004048 <br /> Regulated Facility: PACIFIC BELL UE-708 Account ID AR0006490 <br /> 2300 E EIGHT MILE RD Issued 312912001 <br /> STOCKTON. CA 95210 <br /> Billing Address: ATTN : ENVIRONMENTAL MGMT <br /> PACIFIC BELL UE-708 <br /> PO BOX 5095 RM 3E000T <br /> SAN RAMON, CA 94583-0995 <br /> 7023.rpt <br />