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<br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTHDEPARTMENT
<br /> 304 E.Weber Ave.,Third Floor• Stockton, CA 95202-2708• Phone(209)468-3420
<br /> Donna Heron,RE.H.S.,.Directof
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<br /> ENVIRONMENTAL HEALTH
<br /> SAN..JOAQUIN COUNTY CERTIFIED UNIFIED PROGRXM.AGENCY.'
<br /> PERMIT TO OPERATE
<br /> Program Permit.. Permit
<br /> Record B ' Number Program Code and Description Valid
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<br /> PR0231425 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2006 To 12/31/2006 "
<br /> Underground'Storage Tank Program:
<br /> California Health and Safety Code,Div.2%Chap 87 and Title 23,California Code of Regulations,Chop 6 _a k
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<br /> P/E -Tank# Tank Record ID ermit# Capacity Contents Permitt t.ms ystem Type Leak Detection
<br /> 2362 2 390002314250508183 PT0009601 6,000 DIESEL Atltive,' Fable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> ,Underground Storage Tank Permit Conditions
<br /> `1) .The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid and/or the UST d�stem(s)fails to remain irrcompiiance with these Permit Conditions
<br /> 2j,. In order to maintain the operating permit,the owner and operator shall comply with the H&S Code,Div.20,Chap.6.7 and 6.73;and CCR,Title 23,Chap.16 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 6wner 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 /> 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Department(EHD)and are considererdV- ST;Permit Conditions. The approved as
<br /> monitoring,response,and plot plans shall be maintained onsite.with the permit. ;
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<br /> 3) . The Permittee shall comply with the monitoring procedures referenced in this pentrit.
<br /> �) 'The Permittee shall perform testing and preventive maintenance on all,leak detection monitoring equipment annually,.or more frequeotlg if i ed`by the equipment manufacturer,and z
<br /> ,provide documentation of such servicing to this office. ='
<br /> 7)' 1a the event of spill,leak,or other unauthorized release,the.Permitee shall comply with the requirements of Title 23 CCR,Chap.16,ArtS,amid the approved Emergency Response Pian, f
<br /> .0 '"YJritten records of all monitoring performed shall be maintained on-site by the operator and be available for inspection for 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 sueh changer
<br /> Upon any change in equipment,design or operation of the UST system(including change in tank contents or usage),the Permit to OixIW will be sojectv*iew,modification or #'
<br /> revocation.
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<br /> 14) 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 Pennit'Conditions within 30 days of the date of the issuance of this_pagtiG
<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 /> #4), P "Conditional"Permit may be revoked if corrections specified op the inspection report are not completed by the date(s) indicated.
<br /> PERMITS TO OPERATE are NOT TRANSFERABLE
<br /> and tray be SUSPENDED or REVOKED for cats.
<br /> PERIVIIT(s)� Ild only fiir VERIZON CALIFORNIA INC
<br /> DBA: VERIZON CALIFORNIA(CENTRAL OF
<br /> Tank-Owner: VERIZON SERVICES GROUP
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> RegUi'b'd EadNty ':
<br /> VER CALIFORIN A INC* Facility lQ FA0003838
<br /> 430 W CENTER ST Account:ID AR0003426,
<br /> MANTECA`':�A 9366, Isst ed 2/3/2006
<br /> $1 AddtOBS..' ATTN JASQN Wt '
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<br /> VIRIZON :CALIFORNIA INC* `
<br /> T00 HIDDEN, RIDGE, HQWOIJlJ$
<br /> IRVING: TX . 75038, ;
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