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77 SAN JOAQUIN-COUNTY ENVIRONNIENTAU HEALTH DEPARTMENT 304 E.Weber Ave.,Third Floor 9 Snodcton,CA 95202-2708•Phone(209)468-3420 Donna Heran,R.EH.S.,Director ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Program Permit Permit Record ID Number Program Code and Description *** AMENDED *** Valid PR0231866 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2004 To 12/31/2004 Underoround 3—tweae.Tank,Program; California Health and Safety Code,Div_20,Chap.6.7 and Title 23,California Code-of Regulations,Chap. 16. -------------------------- --------- --- ------------ P/E Tank# 'Tank Record Ill Permit# Capacity Contents Permit Status System Type Leak Detection 2362 4 390002318660515595 PT0011620 8,000 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 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 established by San Joaquin County. 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 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 considererd UST Pemrit Conditions. The approved monitoring,response,and plot plans shall be maintained onsite with the permit 5) The Permittee 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 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 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 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 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: PACIFIC BELL ENVIRONMENTAL MGT DBA: PACIFIC BELL UE656(YOKUTS) THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES Regulated Facility. PACIFIC BELL Facility ID FA0003957 124 W ELM ST Account ID AR0003569 LODI, CA 95240 Issued 6/7/2004 Billing Address: ATTN : SBC ENVIRONMENTAL MGMT PACIFIC BELL ENVIRONMENTAL MGT PO BOX 5095, RM 3E000 SAN RAMON, CA 94583-0995 7023.rpt