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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> 304 E.WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 • PHONE(209)46&3420 <br /> KAREN FURST,M.D., M.P.H., HEALTH OFFICER <br /> DONNA HERRN,R.E.H.S.,DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Valid <br /> ogram ermrt <br /> Record <br /> ID Number Program Code and Description 111/00 To 12131100 <br /> PROS1385 PT0010051 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY <br /> Hazardous Waste Generator Program: <br /> California Health and Safety Code Div.20,Chap.6.5,Art.2-13 Sec.25100 et seq,and Title 22 California Code of Regulations,Chap.;7100 To 12131100 <br /> _ _ _ <br /> 0. <br /> - - - - - - ------ -- - <br /> PR023152 2300-UNDERGROUND STORAGE TANK FACILITY <br /> Underground Storage Tank Program: <br /> California Health and Safety Code Div.20,Chap.6.7 and Title 23 California Code of Regulations Chap. 16. ___ ___ _ _ ___ ___ __ __ <br /> con error ap cn <br /> c ive <br /> 2360 3 390002315280152803 PT0004896 525 UNLEADED Active <br /> ------------- <br /> Underground Storage Tank Permit Conditions <br /> 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 <br /> these Permit Conditions. <br /> 2) In order to maintain the operatin mit,the permit holder shall comply with the H&S Code,Div.20,Chap. 6.7 and 6.75;and CCR,Tide 23,Chap. 16 and <br /> 18,as well as any conditions established by San Joaquin County. <br /> 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 o operator ofthe tank,the <br /> Permittee shall ensure that both the Tank Owner and tank Operator receive a copy of the permit. <br /> 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Division(PHS/EHD)and are cgnsidererd <br /> UST Permit Conditions. Copies of the Procedures and Emergency Response Plan most be attwhed to this permit or be available for review and/or inspection <br /> 5) �� UST site. <br /> he eermrttee shall comply with the monitoring procedures referrenced in this permit. <br /> 6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,o more frequently if specified by the <br /> equipment manufacturer,and provide documentation of such servicing to this office. <br /> 7) In the event of a spill,leak,or other unauthorized release,the Pemnitee shall comply with the requirements of Tntic23 CCR,Chap. 16,Art.S,and the <br /> approved Emergency Response Plan. <br /> 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 <br /> from the date the monitoring was performed. <br /> 9) The PHS/EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change. <br /> 10) Upon any change in equipment,design or operation of the UST system(including change in tank contents or usage),the Penn it to Operate will be subject to <br /> review,modification or revocation. <br /> 11) Construction,repair and/or removal permits are required from the PHS/EHD prior to any change,repair or removal of UST system equipment. <br /> 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 <br /> of this permit. <br /> 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. <br /> 14) A"Conditional'Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated. <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for. LIBERTY RURAL FIRE DISTRICT <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Facility ID FA0003795 <br /> Regulated Facility: LIBERTY RURAL FIRE DISTRICT Account ID AR0003380 <br /> ACA N , CA 952LLA RD Issued 9/2812000 <br /> ACAMPO, CA 95220 <br /> Billing Address: ATTN : LIBERTY RURAL FIRE DISTRICT <br /> LIBERTY RURAL FIRE DISTRICT <br /> 24124 N BRUELLA RD <br /> ACAMPO, CA 95220 <br /> 7023.rpt r 14e4 <br />