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11 , <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E. Main St. • Stockton,CA 95202-3029 • Phone(209)468-3420 <br /> Donna Heron,R-E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Program Per out Permit <br /> Record ID Number Program Code and Description Valid <br /> PR0232507 2300-UNDERGROUND STORAGE TANK FACILITY 1/112009 To 12/3112009 <br /> Underground Storage Tapk Procram� <br /> Califoroia Health and Safety Code,Div.20,Chap.6.7 and Title 23,California Code of Regulations,Chap,16. <br /> P/E T }' nk Record ID Permit# Capacity Contents Permit Status System Type Ixak Detection <br /> 2362 1 390002325070250701 PT0005151 4,000 DIESEL Active,billable DOUBLE WALLED Coutimmus Interstitial Monitoring <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 systems)fails to remain in compliance with these Permit Conditions. <br /> 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;Title 23,Chap.16 and 18,as well as any conditions <br /> 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 or operator of the Look,the Permittee shall ensure that both <br /> 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 Department(EHD)and are considererd UST Permit Conditions. The approved <br /> monitoring,response,and plot plan shall be maintained onsite with the permit. <br /> 5) The renames shall comply with the monitoring procedures referenced in this permit. <br /> 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 <br /> provide documentation of such servicing to this office. <br /> 7) In the event of spill,leak,mother unauthorized release,the Permitee shall comply with the requirements of Title 23 CCR,Chap.16,An.5,and the 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 leas/three years from the date the monitoring was <br /> performed. <br /> 9) The 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 Permit to Operate will he subject to review,modification or <br /> revocation. <br /> l 1) Construction,repair and/or removal permits are required from the EHD prior to any change,repair or removal of OST system equipment. <br /> 12) The Permittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the date of the issuance of this permit. <br /> 13) This Permit m 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 /> 3G q �(, 00 Is�rs J r <br /> M 2 <br /> PER ITS TO OPERATE are '�jjTRANSFERABLE <br /> and may be SUSPENDED or—ItVOKED for cause. <br /> PERMIT(s)Valid only for: MCI CORPORATION <br /> DBA: VERIZON BUSINESS <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: VERIZON BUSINESS Facility lD FA0003846 <br /> 2500 W TURNER RD Accounto ARD003434 <br /> LODI CA 95242 Issued 2/4/2009 <br /> Billing Address: <br /> VERIZON BUSINESS <br /> 2500 W TURNER RD <br /> LODI CA 95242-4642 <br /> ]023 rpt <br />