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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 304 E.Weber Ave.,Third Floor•Stodcron,CA 95202-2708•Phone(209)468-3420 Donna Haan,RE.H.S.,Director ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Permit Program Permit Valid Record ID Number Program Code and Description PR023186 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2002 To 12/31/2002 Underground Storage Tank Program' Califo_mia Health and Safely Code Div.20,Chap,67 and Tltle 23 Califomia-Cod_e of Re�ulafions Chap,16. ______________ .---___..____-.-___- P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection REGULAR UNLEADED ACfIVe,billable DOUBLE WALLED Continuous Intershaal 2362 2 390002318680505529 PT0008087 10,000 Monitoring 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 to maintain the operating permit,the owner and operator shall comply with the H&S Code,Div.20,Chap.6.7 and 6.75;and CCR,Tide 23,Chap.16 and 19,as well as any conditions established by San Joaquin County. 3) If the Tank Opemtor(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 Environmental Health Department(EHD)and are considenad UST Pemdt Conditions. The approved monitoring,response,and plot plans shall be maintained onsite with the pemdt 5) The Pemtinee 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 Permitee shall comply with the requirements of Tide 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 date the monitoring was performed. 9) The 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. 11) Com uction,repair and/or removal peor kS are required from the EHD prior to any change,repair or removal of UST system equipment 12) The Pennines 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 dam(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 Tank Owner: PACIFIC BELL THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES Facility ID FA0004045 Regulated Facility: PACIFIC BELL Account ID AR0003691 4051 NEWTON RD Issued 312912002 STOCKTON. CA 95205 Billing Address: ATTN : ENVIRONMENTAL MGMT PACIFIC BELL PO BOX 5095 RM 3E000T SAN RAMON, CA 94583-0995 7023.rpt