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SAN JO QUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 6 0 E. Main St. • Stockton, CA 95202-3029 • Phone(209)468-3420 Donna Heran, R.E.H.S., Director ENVIRONMENTAL HEALTH S N JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Program Permit Permit Record ID Number Program Cod and Description Valid P-RO5 0695 PT0020773 22 M LL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2011 To 12/31/2011 1�zardaLs-aplast�Ge or rogram: In order to maintain the permit to operate, Hazardous Waste Generators shall comply with California Health and Safety Code, Div.20,Chap.6.5,Art.2-13, Sec.25100 et seq,_and Title 22, Califo-mi'a_Code of Regulations,Chap. 20 --------- --------- - --------- -------- --------- --------- ----------- ------- - -------- --------- ------------- PR0231547 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2011 To 12/31/2011 Underground Storage Tank Program: California Health and Safety Code, Div_�O,Chap_6.7 and Title 23,California Code of Regulations, Chap: 16. ------------------------------------- -- --- P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection 2362 1 390002315470154701 PT0005160 550 DIESEL Active,billable DOUBLE WALLED Continuous Interstitial 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 imwner 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 established by San Joaquin County. 3) If the Tank Operator(s)is different from th 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 copy of the permit. - 4) Written Monitoring Procedures and an Emer ncy Response Plan must be approved by die Environmental Health Department(EHD)and are considererd UST Permit Conditions. The approved monitoring,response,and plot plans shall be aintained onsite with the permit. 5) The Permittee shall comply with the monitori g procedures referenced in this permit. 6) The Permittee shall perform testing and pr entive maintenance on all leak detection monitoring equipment annually,or more frequently if specified by the equipment manufacturer,and provide documentation of such seryicing to this office. 7) In the event of a spill,leak,or other unauth rized release,the Pernitee 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 performe 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 nership or operation of the UST system within 30 days of such change. 10) Upon any change in equipment,design or peration 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 a required from the EHD prior to any change,repair or removal of UST system equipment. 12) The Pennittee shall submit an annual report ocumenting compliance with the UST Permit Conditions within 30 days of the date of the issuance of this permit. 13) This Permit to Operate shall not be consid red permission to violate any laws,ordinances or statutes of any other Federal,State or Local agency. 14) A"Conditional"Permit may be revoked f corrections specified on the inspection report are not completed by the date(s) indicated. PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause. PERMIT(s)Valid only for: MCI CORPORATION �ank Owner- MCI DBA VERIZON BUSINESS THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES Regulated Facility: MCI Facility ID FA0003848 13850 N DE YRIES RD Account ID AR0003436 LODI CA 95 40 Issued 2/4/2011 Billing Address: ATTN T DD HARRIS MCI 2400 N GLE VILLE DR RICHARDSON TX 75082 7028.rpt I