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t T SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 304 E Weber Ave.,JUM Floor•Stvduon,CA 95202-2708• Phone(209)468-3420 Donna Heran,R-EH.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 PR0231330 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2004 To 12/31/2004 Underground Storage Tank Program: California Health a_n_d_Safety Code,Div,20,Chap.6.7 and Title 23,California Code of Regula0ons,Chap, --- --------___._ ---------- ------------___.______- P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Defection 2362 3 390002313300133003 12,000 DIESEL OUT OF COMPLIANCE-No Permit 2360 4 390002313300505844 2,000 DIESEL OUT OF COMPLIANCE-No Permit 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 these Permit Conditions. 2) In order in maintain the operating permit the owner and operator shall comply with the H&S Code,Div.20,Cap.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 Operatm(s)is different from the Tank Owner,m if the Permit m 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 approved by the Environmental Health Department(EHD)and are considererd UST Permit Conditions. The approved monitoring,response,and plot plans shall be maintained onsite with the Pemdt 5) The Penrince 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 a spill,leak,or other unauthorized release,the Pennitee 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 fsr a period of at least three years from the date the monitoring was performed 9) The EHD shall be notified of any change in owcership 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 prim to any change,repair or removal of UST system equipment 12) The Pemdttce shall submit an annual report documenting compliance with the UST Pemdt Conditions within 30 days of the date of the issuance of this pemmit 13) This Permit to Operate shall not be considered permission to violate any laws,ordinances or statutes of my other Federal,State or meal 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 tray be SUSPENDED or REVOKED for cause. PERMIT(s)Valid only for: CITY OF LODI DBA: LODI MUNICIPAL SERVICE CENTER Tank Owner: 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 4126/2004 Billing Address: ATTN : LODI CITY OF/DENNIS CALLAHAN LODI PUBLIC SAFETY BUILDING 221 W PINE ST LODI, CA 95240 7023.tpt