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UIN COUNTY ENVIRONMENTAL HEALTH ISEPARTMENT <br /> SAN JOAQ <br /> 304 E.Weber Ave.,Third Floor•Stodcton,CA 95202-2708• Phone(209) 68 3420 <br /> •r)onna Heran, R.E.H.S.,Director' <br /> ENVIRONMENTAL HEALTT-� <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM A6ElYC <br /> ' PERMIT TO OPERATE ; <br /> Program Permit Permit <br /> Record ID Number Program Code and Description Valid <br /> PR0231866 2300-UNDERGROUND STORAGE TANK FACILITY AMt2006 To 12/31/2006 <br /> Underground Storage Tank Program: <br /> -_ ----_ -- California Code of Regulations Chap__16-------- <br /> -^ <br /> , -GallfomTank#Ith and TankRecorde,DDiv.20._ Permit#7-anGa lac ------ -------- - ------- - ..._ , ___- ------------------------------- <br /> Tank <br /> ___- ---_----- ------ <br /> p p i y Contents Permit Status Leak Detection <br /> 23,$2 4 390002318660515595 PT0011620 8,000 DIESEL Active,billable Continuous Interstitial Monitoring <br /> •Ufiderground Storage Tank Permit Conditions r <br /> 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 <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,CltapA&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 tank,the Permittee shall ensure that both <br /> the Tank Owner and tank Operator receive a copy of the permit. ra <br /> 4). Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Department(EHD)and are wnsidererd UST Permit Conditions. The approved <br /> N. <br /> monitoring,response,and plot plans shall be maintained onsite with the permit, <br /> 5) The Permittee shall comply with the monitoring procedures referenced in this pet t, <br /> 6 The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annuall ,or more fre uep�i ified by the equipment manufacturer,and <br /> ` provide documentation of such servicing to this office. <br /> a 7)': In the event of a spill,leak,or other unauthorized release,the Permitee shall comply with the requirements of Title 23 CCR,Crisp:16,Art.5,and the approved Emergency Response Plan. <br /> $) 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 yea xsfrom 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 changer <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 be subject to review,modification or f .} <br /> revocation: <br /> 11) 'Construction,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST 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 pemut s s <br /> tF <br /> This Permit to Operate shall not be consideredpermission to violate any laws,ordinances or statutes of any other Federal,State'or Local agency. t <br /> }#J A"Conditional"Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) it dkilted <br /> : <br /> w <br /> i <br /> 1 <br /> ? R <br /> '3 <br /> s <br /> 7 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. " <br /> -PERMIT(s)Valid only for: PACIFIC BELL ENVIRONMENTAL MGT % ', . <br /> DBA PACIFIC BELL <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES r; <br /> „t <br /> *WhiMd Fahr. -oAC1 'BELL .�A0003957 <br /> F> <br /> 124 W ESM ST d000tintlD• AR0003569 <br /> LODIA 95240 Is"md.-•x,/3/2006 <br /> Billing Address: ATT'N SBC ENVIRONMENTAL MGMT <br /> PACIFIC BELL ENVIRONMENTAL MGT # <br /> PO` BOX 5095, RM 3E000 .. 1 - . <br /> SAN RAMON CA 9458.3-0995 <br /> i <br /> 7023.r}5t <br />