BILLING_PRE 2019 - Laserfiche WebLink

Home Browse Search

SAN JO�UIN COUNTY PUBLIC HEALTH'*.RVICES 304 E. WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 • PHONE(209)468-3420 KAREN FURS1, M.D., M.P.H., HEALTH OFFICER DONNAEHERAN, RR.EE..HH..S.,, DIIRRECCrrORR EENNVVIIRoNMFFNTAAL[�HEALTH HDIVISION SAN JOAQUIN COUIVTY�CERTIFIED UNIFIEUPRO(;RAM AGENCY PERMIT TO OPERATE Program Permit Record ID Number Program Code and Description Permit Valid PR023133 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/01 To 12131/01 Underground Storage Tank Program, California Heallh and Safety Code Div.20,Chap_6.7 and Title 23 California Code of Regulations Chap._ _16_ __ - ----- - - -- - -- - - -- - ---- - - - - tY ----- - - - - - - - -- - Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection 2360 4 390002313300505844 PT0008371 2,000 DIESEL Active,billable DOUBLE WALLED INTERSTRAL MONITOR 2362 3 390002313300133003 PT0006616 12,000 DIESEL Active,billable DOUBLE WALLED INTERSTRAL MONITOR 130E ID# 44-024650 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 system(s)fails to remain in compliance with thew 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 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 Perminee 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 approved by the Environmental Health Division(PHS/EHD)and are considererd UST Permit 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 UST site. 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 once. 7) In the event of 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 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 dale 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. 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. I I) Construction,repair and/or removal permits are required from the PHS/ERD 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 dale of the issuance of(his permit. 13) This Permit to Operate shall not be considered permission to violate any laws,ordinances or statutes of any other Federal,Stale or Local agency. 14) A"Conditional"Permit maybe 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 MAST RE 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 9/18/2001 Billing Address: ATTN : LODI CITY OF/DENNIS CALLAHAN LODI PUBLIC SAFETY BUILDING 221 W PINE ST LODI, CA 95240 70M rpt