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SAN JOAQ!-AN COUNTY PUBLIC HEALTH SI,,ACES <br /> 304 E.WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 • PHONE(209)468-3420 <br /> KAREN FURST,M.D., M.P.H., HEALTH OFFICER <br /> DONNA HERAN,R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Program Permit Permit <br /> Record 11) Number Program Code and DescriptionValid <br /> PR0232507 2300-UNDERGROUND STORAGE TANK FACILITY 1111/01 To 12131101 <br /> Underground Storage Tank Proaram: <br /> California Health andSafety Code Div,20,Chap_6.7 and Title 23 Califomia Code of Regulations Chap_16- ------- ------------ ------------- <br /> P/E Tank# Tank Record H) Permit# Capacity Contrnts Permit Status <br /> 2362 1 390002325070250701 PT0005151 4,000 DIESEL Active <br /> Underground Storage Tank Permit Conditions <br /> 1) The Pamitto Operatewill becomevoid if Annual Permit Feesand Service Feesare not paid and/or the UST system(s)fails toremain in compliance with these Permit <br /> Conditions. <br /> 2) In criteria maintain the operating permit,the permit holder shall complywith the H&S Code,Div.20,Chap.6.7 and 6.75;and CCR,Title 23,Chap.16 and 18,w well as <br /> anyconditions established by San Joaquin County. <br /> 3) If the Tank Operator(s)is drfTaent from the Tank Owner,or if the Permit to Operate is issued to a person otherthan the owner or operator of the tank,tlm a Permittee shall <br /> 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)andareconsidaertl UST Permit <br /> 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 UST site. <br /> 5) The Permittee shall comply with the monitoring procedures referrrnced in this permit. <br /> 6) The Perndttee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently if specified by the equipment <br /> manufacturer,and provide documentation ofsuch servicing to this office. <br /> 7) In the event of a spill,leak,or other unauthorized release,the Pamitee shag comply with the requirements of Tile 23 CCR,Chap.16,Art.5,and the approved Emergency <br /> Response Plan. <br /> 8) Written records of all monitoring performed shag be maintained on-site bythe operatorand be available for inspection fora period of at least three)ears from the date the <br /> 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 U Sr system(including change in tank contents or usage),the Permit to Operate will be subject In review, <br /> 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 Perndttee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the anniversary date ofthe issuance ofthis 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 datc(s) indicated. <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: MCI CORPORATION <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: MCI WORLD COM Facility ID FA0003846 <br /> 2500 W TURNER RD Account ID AR0003434 <br /> LODI. CA 95242 Issued 3/29/2001 <br /> Billing Address: ATTN : ROD CRISOSTOMO <br /> MCI WORLD COM <br /> 2500 W TURNER RD <br /> LODI, CA 95242 <br /> 7023.rpt "no <br />