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4 <br /> SAN JOAQU-9OUNTY ENVIRONMENTAL HEAL4EPARTMENT <br /> g K <br /> ` 600 E. Main St. • Stockton,CA 95202-3029 • Phone(209)468-3420 {k,4 , i *' <br /> ✓ 'rA.;. r s <br /> Donna Heran,R.E.H.S., Director <br /> ENVIRONMENTAL HEALTH <br /> v <br /> f�3tly 3 4 '4. :Y <br /> s.� ,.,,�k � s�^� t:. �,k >ty zra� s'S- r'3,.`,:,i a��.A�^'�3i•�(i�°" .;, .,� <br /> n SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Program Permit Permit <br /> Record ID Number Program Code and Description <br /> Valid <br /> f.. <br /> PR0231866 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2008 To 12/31/2008 <br /> Underground Storage Tank Program: <br /> California Health and Safety Code, Div.20,Chap.6.7 and Title 23,California Code of Regulations,Chap 16. ' <br /> P/E Tank 4 Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection <br /> 2362 4 390002318660515595 PT0011620 8,000 DIESEL Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> 80E,tot, 44-001529 <isw ' p si` s r tiz rr r�+� Yt f * t rrry ft <br /> Underground Storage Tank Permit Conditions " <br /> I) 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 /> In order to maintain the operating permit,the owner and operator shall comply with the H&S Code,Div.20,Cha 6.7 and 6.75;and CCR,Title 23,Cha 16 and 18,as well as an conditions <br /> 2) P g P P p Y P• P• Y <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. <br /> Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Department(EHD)and are considererd UST Permit Conditions. The approved <br /> monitoring,response,and plot plans shall be maintained onsite with the permit. <br /> r;' <br /> 5) The Permittee shall comply with the monitoring procedures referenced in this permit <br /> y„0,6) The Permittee shall perform testing and preventive maintenance on all leak detection mphitomig equipment annually,or more frequently if specified by the equipment manufabttuer,and <br /> provide documentation of such servicing to this office. <br /> 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. <br /> rz•: <br /> 48) 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 <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 change. , <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 subjectto review;modification ory' <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 Pennittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the date of the issuance ofthis permit ftY G <br /> c1... <br /> 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. ,,z , k <br /> 14) A"Conditional"Permit maybe revoked if corrections specified on the inspection report are not,completed by the ctate(s) indicated. { <br /> Ar <br /> ss n &�r <br /> s, - t:. r h,*.at s •d ,.„ 9 it 'i"•:+n k A "d <br /> r+.'' <br /> y a$' a«. '. ..fiyp y^., ,r'• k'^ 'r ''ur. <br /> a r u"3... } t Mz t,r t}g "Y fs{ s `3` r ,�1 + x-o ,w r w E+• r +sp '# '` <br /> `iwtn <br /> d <br /> .. '. fly i..{ 'F �,,r t�.'� tr�Atk� �'�` �xK � "�� , '�;,� Fa�;�y�w�t" � - r•✓.G�. �; �•d. ��.' th .,r�,.t� r a.tg�, 7 o*�ry y, .. s �w�% '� j' ` t t' s'. A <br /> '�' ''e`1;•1s t� tiSW � _✓= :^rr d*�s�^� e s� r �`��� at-3IM. >t', A �.�.�„ � r. �:fk � ,q � �:�1 s aat'�+ X�� • <br /> t tiv ✓ �+ a i.y�;,dl e c<r 4 i''`%r m. "`�"":` _`:`,�^" G, ;��'� .�t -,. k i � y��"#" <br /> 1r `+'k s� r a �i=3 t!:' 4 t'���i�+�"i�`y w�ie�'r� Y.f ���t !4f'��1 � '�>,, f �-0`'A� � '�, `y, ��`fi•`>�s,.'�"rF� N�'� �. . <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause '` Y <br /> PERMIT(s)Valid only for: PACIFIC BELL ENVIRONMENTAL MGT <br /> DBA: PACIFIC BELL ¢ <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON TIIE PREMISES <br /> Regulated Facility PACIFIC BELL <br /> ��i F *� ` 4�f ` v ,$ i Facility to FA0003957 <br /> tz: ,��124 W ELM ST #"07 air ` � , " 1 Account lD <br /> 69 <br /> LODI CA 95240 issued 2182008 <br /> p. 5 3 a L tr <br /> Billing Address ATTN SBC ENVIRONMENTAL MGMT <br /> 4 <br /> A r s <br /> PACIFIC BELL ENVIRONMENTAL MGT k, '� <br /> n1r ( }ytr t AIt l" fi <br /> a� ti� f i yrs <br /> PO BOX 5095 <br /> }x SAN RAMON GA 94583 Q9 5 <br /> 05, <br /> a x v. 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