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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.Weber Ave.,Third Floor•Stockton,CA 95202-2708® Phone(209)468-3420 <br /> Donna Heran,R.E.H.S.,Director <br /> . SAN J AQ)=_VWFIETI EDVDU"kVAENCY <br /> PERMIT TO OPERATE <br /> Program Permit Permit r,. <br /> Record ID Number Program Code and Description Valid <br /> PR0231425 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2005 To 12/31/2005. <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 /> --- ------- - ---- --------- ------ - --- ---- --- -------- -------- ------ - -- ------- ---------- - <br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leal.Detection <br /> 2352 2 390002314250508163 PT0009601 6,000 DIESEL Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> BOA,„iD# 44 0,17869, �.�y �wa <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 /> 2) In order to maintain the operating permit,the owner and operator shalt comply with the H&S Code,Div.20,Chap.6.7 and 6.75;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 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 /> 4) 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 /> 5) The Permittee shall comply with the monitoring procedures referenced in this permit. <br /> 6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently if specified by the equipment manufacturer,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 shalt comply with the requirements of Title 23 CCR,Chap.16,Art.5,and the 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 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 subject to review,modification or <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 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 /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: 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 /> Regulated Facility: VERIZON CALIFORNIA INC* Facility ID FA0003838 <br /> 430 W CENTER ST Account ID AR0003426 ` <br /> N1ANTECA, CA 95366 Issued 2/10/2005 <br /> Billing Address: <br /> VERIZON CALIFORNIA INC* <br /> 13100 COLUMBIA PIKE C14 *: <br /> SILVER SPRING, MD 20904 <br /> 7023.rpt <br />