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SAN JOAQUIN COUNTY ENVIRONMENTAL HFAITH DEPARTMENT 304 B.Webs Ave.,Third Floor•Stodown,CA 95202-2708•Phone(209)468-3420 Donna Htr,an,RF-H.S.,Director ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Program Permit - Permit Record ID Number Program Code and Description Valid PR023133 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2002 To 12/31/2002 Underground Storage Tank Program: California Health and Safety Code Div_20,Chap_6.7 and Title 23 California Code of Regulations Chap_16.____ ___ P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection 2360 4 390002313300505844 PT0008371 2,000 DIESEL Active,billable DOUBLE WALLED Continuous Interstitial Monitoring 2362 3 390002313300133003 PT0006616 12,000 DIESEL Active,billable DOUBLE WALLED Continuous Interstitial Monitoring Underground Storage Tank Permit Conditions 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. 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 established by San Joaquin County. 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 the Tank Owner and tank Operator receive a copy of the permit. 4) Written Monitoring Procedures and an Emergency Response Plan most be appmved by the Environmental Health Department(EHD)and are consideresd UST Permit Conditions. The approved monitoring,response,and plot plans shall be maintained onsite with the pemdl. 5) The Permittee shall comply with the monitoring procedures referenced in this permit. 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 provide documentation of such servicing to this office. 7) In the event of spill,leak,or other unauthorized release,the Parasites shall comply with the requirements of Title 23 CCR Chap.16,Art.5,and the approved Emergency Response Plan. 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 performed 9) The EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change. 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 revocation. 11) Construction,repair and/or removal permits are required from the 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 of this 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: LODI CITY OF THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES Regulated Facility. LODI PUBLIC SAFETY BUILDING Facility ID FA0003964 230 W ELM ST Account ID AR0003579 LODI. CA 95240 Issued 3/29/2002 Billing Address: ATTN : LODI CITY OF/DENNIS CALLAHAN LODI PUBLIC SAFETY BUILDING 221 W PINE ST LODI, CA 95240 7023.rpt