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SAN JUIN COUNTY PUBLIC HiEALT411VICES 304 E.WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 • PHONE (209) 468-3420 KAREN FURST, M.D., M.P.H., HEALTH OFFICER DONNA HERAN, R.E.H.S.,DIRECTOR ENVIRONMENTAL HEALTH DIVISION ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Permit Prom Permit Valid Record N Number Program Code and Description PR0231870 2300-UNDERGROUND STORAGE TANK FACILITY 111101 To 12/31/01 Underground Storage Tank Program: Califomia Health and Safety Cade'Div.20,Chap_6.7 and Title 23 California --- -Regulations Chap. 16- --- - - - -- -- - - - - - -- -- - ----------- -- - - -- ----- -- - - -- -- - - - ---- - - - - P/E Tank# Tank Record[D Permit# CapacityContents Permit Status System Type 2362 2 390002318700167002 PT0006536 2,000 DIESEL Active DOUBLE WALLED ID e C-02491 the 71, 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 wdththese 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. the Permit to Operate is issued to a person other than the owner or operator of the tank,the Permittee shall 3) If the Tank operator(s)is different from the Tank Owner,or if ensure that both the Tank Owner and tank Operator receive a copy of the permit. 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Division(PHS/EHD)and are considererd 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 USC site. 5) The Permittee shall comply with the monitoring procedures referrenced in this permit. 6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently if specified bythe equipment manufacturer,and provide documentation ofsuch servicing to this office. 7) In the event of a spill,leak,or other unauthorized release,the Permitee shall complywith the requirements of Title 23 CCR,Chap. l6,Art.5,and the approved Emergency Response Plan. 8) Written records of all monitoring performed shad be maintain ed on-site by the operatorand be available for inspection for a period of at least three}ears from the date the monitoring was performed. 9) The PHSIEHD 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 ofthe 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 PHSIEHD 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 ofthe 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 corrcctions 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: PACIFIC BELL ENVIRONMENTAL MGT DBA: PACIFIC BELL THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES Facility ID FA0003953 Regulated Facility: PACIFIC BELL Account 1D AR0003564 7717 MCKINLEY AVE Issued 3/2912001 FRENCH CAMP. CA 95231 Billing Address: ATTN : ENVIRONMENTAL MGMT PACIFIC BELL PO BOX 5095 RM 3EOOOT SAN RAMON, CA 94583-0995 7o23.rpt 0