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j0k PC, V TT ENVIRONMENTAL HEALTH DEPAE4MENT' .1 304 L.Wcbc Ave. Thkd Flbor*_Stodcton,CA 95202-2708:4 Phone(209)465+3420 Donna Herini RY-1 1S.,Dkemr SAN JO QUIN COUNTY CERTIFYED UNIFIED PROGRAM.AGENCY PERMFr TO.OPERATE. Program Permit Permit Re6oid lD Num Program Code an escription Valid R0231866' 2300=U RGROUND STORAGETANk FACILITY 1/1/2007 To 1213112007 1lnder�round St a nk-P's r . GallfomiaHeaith at y ode,Dtv 20;.Phap_6'7 and.Title 23 California Code of Regulations,Chap_16 - - -------- P Tdttk#: Tank Recgrd Permit# Capacity Cotrtents Permit Stattts System Type. Leak Detection 2362" 4 39000231$6 M51,5595 PT0011620 8;000 DIESEL ACdVe;blllable DOUBLE WALLED Continuous Interstitial Monitoring Underground 3todsge Tangy Permit Conditions' Z) TYie.Permit to Operate Mil beeome,bid if Annual Permit Fees and Service Fee s.arenot paid aed/or the UST systems}fails-to remain m compliance with these Permit Condititms. 2) In order to mautt mi the operating permit,the owner and operator shallcomply with the H&S'-Code;W.26,Chap:6.1 and;6.75.and CCR,Title 23.Chap.16 and 18,as well,us,an:eottditi0tlr5 established by San Joaquin County. 3) If the Tank Operators)is'di4erent from the'Tank Owner,or if the Permit to.Operate is isimedto a person other than the owne70r operator of rite tank,the Permittee shall ensure that both tie Tank Owner and tank Qperator receive a copy of the permit 4) Written Monitoring Procedures and an Emergency Response Plan mustbe approved by the Environmental Healtp Depmlment(EM)and are copsidererd UST Permit Conditions;Tlm_ap�oved mointoring,resporrsr,and.plot plans shall be maintained onsite with the permit 1) The>Pedmttee,shall comply with tie momtomill procedures"referenced ti`.dus pomrit. ..ThePetmitteeshall �, r . . 6) perfot►n testing and preventive maintenance ori all leak tletectron monitoring equipment atmuelly of more frequetitly"if specif.i by the equipment manufacturer,and provide documentation of such servicing to this office. 7) .'In the e,�erit ofa apiil,lealr or ober uirauthorized.release ffie'Pexmitee shall comply with the requirements Ol Title 23 CCR,f✓hap.16,Ari 5,and the approved,Emergency Response Plan: Written records of all monitoring performed;hall be maidtaipod on-site by the operator and be.available for inspectioq:fora period of-at lentthreeyears from the date the monitoring was performed. p) .'Ihe EHD shall be notit3ed'of any clrgiitge in ownership or operatiwrcf ttie UST system.wiihm'30`:ilays of siidr chagge. " 10) Upar adl'c4ange m equ gnent design or operation of tie[)$T s318tem.(i ludnng etuuige in tank cotettsalle,the Permit to-Operate wilt W subject to rtwierv; hoddic stiott or. retmq�tien. _ _ 1`1) Coustit�rOn,rev and/m rtanoval permit!are required from the'EIM prior"to any change,repair or reriraval OUST system equipment.' t2) TIm:P.amltt '"sub mrlsa aomi9l,repgnt documenting compliance t6a iJST Permit Conditions withm 30 tlayPtof "datrof the issuance of iiia perptit 13 Ttiis Permit W" to shad tat be gdetai onto violate . Opera pepaissi 'airy!law�ifrdinances or statutes of anyotlAer Federal;State or Local agency. ;.Y4) A,"Ctmditionsl"Pemoit spedifi maybe rdvQkedifrsorrec ris OdoaYhe'irra",onreport are not completedbi'thi ote(s)rndreefed.• , C PERMITS TO"bPERATE are'NOT TRANSFERABLE and maybe SUSPENDED 0 P.EVQXM,.for.cause. • :PERMIT(s)Valid.on Pi�C1* BELL ENVIRONMENT iL MGT W ':PACIROBELL 7FI319 FORM MUS$Ts;D13P;,MD CONSPICUOVSI Y ON THE"P�MI$ES Regulated Facility: P�►CIfIC�"ELL` " Facillty I X140003957 124:W ELM ST ,: _ Account iD, AR0003569' LOCA CA.95240: . Isst*d 2/13/2007 Billing Address: AT,TN t SBC ,ENVIRONMENTAL 1MGM"f PACIFIC BELL ENVIRONMENTAL.MGT" PO, BOX-5095:'RM39000 SAN RAM4N .CA 94.583-099.5 7q*