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SAN JUIN COUNTY PUBLIC HEALTRVICES 304 E.WEBER AVE„THIRD FLOOR • STOCKTON,CA 95202 • PHONE (209) 468-3420 !KAREN FURST, M.D., M.P.H., HEALTH OFFICER DONNA RERAN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Permit ProgramID Number gm ermrt pro ram Code and Description Valid Record 111!00 To 12131!00 PR023187 2300-UNDERGROUND STORAGE TANK FACILITY Underground Storage Tank Program: California Health and Safety Code Div.20,Chap.6.7 and Title 23 California Code of Regulations Chap. 16. ec r - - - -permit- - - -apacr y on en ermit Ntatus ,ysem yPe 7002 PT0006 Active DOUSLIL BOE'IDIV 44-024911 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 incompliance with these Permit Conditions. 2) In orderto maintain the operating permit,the permit holdershall comply with the H&S Code,Div.20,Chap.6.3 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 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 must be approved by the Fnvironmental 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 U T to 5) `�km��Pe�rttse�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 by the equipment manufacturcr,and provide documentation of such servicing to this office. 7) In the event of a spill,leak,or other unauthorized release,the Permitce 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 theopemtor and be available for inspection for a period of at least three years from the date themonitoring 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 subjectto review,modification or revocation. 11) Construction,repair and/or removal permits are required from the PHS/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: PACIFIC BELL ENVIRONMENTAL MGT DBA: PACIFIC BELL THIS FOR I I MUST BF.DISPLAYED CONSPICUOUSLY ON THE PREMISES Facility ID FA0oo3953 53 Regulated Facility: PACIFIC BELL Account ID FA 0003 7717 NIGKINL'EY AVE Issued 9!2812000 FRENCH CAMP, CA 95231 Billing Address ATTN ; ENVIRONMENTAL MGMT PACIFIC BELL PO BOX 5095 RM 3EOOOT SAN RAMON, CA41583-0995 . 7023.rpt