BILLING 1985 - 2001 - Laserfiche WebLink

Home Browse Search

SAN JOIN COUNTY PUBLIC HEALTH SOVICES 304 E.WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 • PHONE(209)468-3420 KAREN FURST,M.D.,M.P.H., HEALTH OFFICER DONNA HERAN,R.E.H.S.,DIRECTOR ENVIRONMENTAL HEALTH DIVISION ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE carom ograI errmt Pro ram Code and Description Valid Record lD Number 8 111100 To 12/31100 PR0231172300-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. __ __ _____ ___ _ _ _ __ _ _____ acr ___ _ -- --- ---- ------ ------ - � -an a or on en error a e I p c ve 390002T111730504864 PiOQG7425 10,0 DOUBLE WALLED INTERSTRAL MONITOR 2360 5 390002311730504863 PT0007424 10,000 PREMIUM UNLEADED Active DOUBLEWALLED INTERSTITAL MONITOR 2360 4 390002311730504862 PT0007423 10,000 PREMIUM UNLEADED Active 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 permit holdershall 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 established by San Joaquin County. 3) Ifthe Tank Operators)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) USTPemnt Conditions. Copies of and the Procedures anedFmergensePlncy Response Planemust bee attached tED oethislpermit orbe aailablef rrreview and/or innd are spection UST site. 5) �he th 5'ermlttee 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 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 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 the operator and be available for inspection for a period of at least three years from the date the monitoring 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 subject to 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: BAFAIZ, SOHAIUBAFAIZ, KHALIL Tank Owner: -OtiL,4 I L THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES Facility ID FA0006423 Regulated Facility: MAIN STREET BEACON#474 Account ID AR0009105 3440 E MAIN ST Issued 912912000 STOCKTON, CA 95205 Billing Address: ATTN : SOHAIL BAFAIZ& KHALIL BAFAIZ MAIN STREET BEACON#474 3440 E MAIN ST STOCKTON, CA 95205 7023.rpt 0 4