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- SAN JOAON COUNTY PUBLIC HEALTH SF#ICES <br /> 304 E.WEBER AVE.,'l HIRD FLOOR • STOCKTON,CA 95202 • PHO E (209) 468-3420 <br /> KAREN FURST, M.D., M.P.H., HEALTH OFFICER <br /> DONNA HERRN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> " i <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTiFIED UNI FI ED PROGRAM AGENCY <br /> PERMIT TO OPERATE ' <br /> x <br /> rogram Permit Pernlit �.�. <br /> Record ID Number Program Code and Description Valid <br /> PR023243 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/00 To 12/31/00 <br /> Underground Storage Tank Program: <br /> a <br /> California Health and Safety Code Div.20,Chap.6.7 and Title 23 California Code of Regulations Chap. 16. <br /> ank Tr I anK IcecoruPermit apace y MI ens Permit Statugf <br /> Conditionalr <br /> 2360 1 390002324370243701 PT0004853 25,000 UNLEADED Conditional t <br /> Underground Storage Tank Permit Conditions <br /> i) The Permit to Operate wil I become void if Annual Permit Fees and Service Fees are not paid and/or the UST system(s)fails to remain in compliance with <br /> these Permit Conditions. <br /> 2) In order to maintain the operatingpermit,the permit holder shall comply with the H&S Code,Div.20,Chap.6.7 and 6.75;and CCR,Title 23,Chap. 16 and <br /> 18,as well as any conditions established by San Joaquin County. <br /> 3) Ifthe'rank O emtor(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 <br /> Permittee shall ensure that both the Tank Owner and tank Operator receive a copy of the permit. <br /> 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Division(PHS/EHD)and are considererd <br /> UST Permit Conditions. Copies ofthe Procedures and F.,mergency Response Plan must be attached to this permit or be available for review and/or inspection }. <br /> th UST site. <br /> 5) is C'ermittee shall comply with the monitoring procedures referrenced in this permit. <br /> 6) The Permitlec shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently if specified by the <br /> equipment manufacturer,and provide documentation of such servicing to this office. s <br /> 7) In the event of a spill,leak,or other unauthorized release,the Pcnnitce shall comply with the requirements of Title 23 CCR,Chap. 16,Art.5,and the a <br /> approved Emergency Response Plan. <br /> 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 <br /> from the date the monitoring was performed. <br /> 9) The PHS/EHD shall be notified of any change in ownership or operation of the/1ST system within 30 days of such change. <br /> ) <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 <br /> review,modification or revocation. <br /> 11) Construction,repair and/or removal permits are required from the PHS/Ei-ID prior to any change,repair or removal of UST system equipment. f <br /> 12) The Permittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the anniversary date of the issuance <br /> of this permit. <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. <br /> 14) A"Conditional"Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated. <br /> F <br /> 1. <br /> s <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: SJC MOTORPOOL <br /> Tank Owner: S J CO MOTOR POOL <br /> THIS FORM MAST BE DISPLAYED CONSPICUOUSLY ON 111E PREMISES <br /> Regulated Facility: SHERIFFS OPERATIONS CTR#1 Facility ID FA0003787 <br /> 7000 N MICHAEL CANLIS BLVD Account ID AR0003371 <br /> FRENCH CAMP, CA 95231 Issued 10/10/2000 : <br /> Billing Address: ATTN : MOTOR POOL <br /> SHERIFFS OPERATIONS CTR#1 <br /> PO BOX 1810 <br /> STOCKTON, CA 95201 <br /> 7023.rpt <br />