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SAN J QUIN COUNTY PUBLIC HEALT*RVICES <br /> 304 E. WEBER AN E.,THIRD FLOOR • STOCKTON,CA 95202 - PHONE(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 /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNI FI ED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> rograni Permit ernut <br /> Record ID Number Program Code and Description Valid " <br /> t <br /> PR023142 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/00 To 12/31/00 <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 /> an-R I an K Kccoraerne Capacity on ens Permit Status System em ype 1751Z Det <br /> Active <br /> N <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 system(s)fails to remain in compliance with <br /> these Permit Conditions. <br /> 2) 1n order to maintain the operating permit,the Penn it holder shall comply with the 1-I&S Code,Div.20,Chap.6.7 and 6.75;and CCR,Ti tic 23,Chap. 16 and <br /> 18,as well as any conditions estab ishcd by San JoaquinCounty. 4 <br /> 3) Ifthe Tank Opeiator(s)is different from the Tank Owner,or if the Pennit to Operate is issued to a person other than the owner or operator ofthe tatt(cytlte <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(PIIS/EIID)and arc consworerd. <<`� <br /> UST Pen-nit Conditions. Copies of the Procedures and Emergency Response Van must be attached to this permit or be available for review and/or't�ot)Yi " ,C <br /> 5) Mni'e'riNIAeshall comply with the monitoring procedures referrenced in this'permit. ? ' <br /> 6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently if specift4., by f9tC N'$' <br /> equipment manufacturer,and provide documentation of such servicing to this office. <br /> 7) In the event of a spill,leak,or other unauthorized release,the Permitce shall.`'comply with the requirements of Title 23 CCR,Chap. 16,Art.5 and <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 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 subjecttlt,, <br /> review,modification or revocation. <br /> 11) Construction,repair and/or removal permits are required from the PHS/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 anniversary date of the issutg <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 /> 4 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. k <br /> i <br /> PERMIT(s)Valid only for: GTE CALIFORNIA <br /> Tank Owner: CONTEL TELEPHONE CO <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON TIIE PREMISES <br /> Regulated Facility: GTE CALIFORNIA* Facility ID FA0003838 <br /> 430 W CENTER ST Account ID AR0003426 <br /> MANTECA, CA 95366 Issued 10/13/2000 <br /> Billing Address: ATTN : GTE CALIFORNIA <br /> GTE CALIFORNIA r <br /> f'�3ti <br /> PO BOX 725 , <br /> CHINO, CA 91708 <br /> 7023.rpt • _ <br /> �rY <br />