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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E. Hazelton Ave. • Stockton,CA 95205-6232 a Phone(209)468-3420 Donna Heran,R.E.H.S.,Director ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Program Permit Permit Record ID Number Program Code and Description Valid Hazardous Waste Generator Program: In order to maintain the permit to operate,Hazardous Waste Generators shall comply with California Health and Safety Code,Div.20,Chap.6.5,AR:Z F3, Sec_25100 et seq and Title 2 alifornia Code of Regulations Chap.20 PR0231426 2300-UNDERGROUND STORAGE TANK FACILITY 111/2013<To 12/31/2013 Under r und.St r e Tank ora California Health and Safety C iv.20,Chap.6.7 and Title 23 California Code of Regulations,Chap_16. P/E Tan Tank Record ID Permit# Capacity Contents Permit Status System Type do 2362 2 390002314250508163 PT0009601` 6,000 DIESEL Active,billable DOUBLE-WALL ContinuouslntersiitiatMbnitorir* Bpi IXI M ,_ Underground Storage Tank Permit Conditions 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 these Permit Conditions. 2) In order to maintain the operating permit,the owner and operator shall comply with the H&S Code,Div.20,Chap.6.7 and 6.15;and CCR,Title 23,Chap:16 and 18,as well as any conditia established by San Joaquin County. 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 dperator of the tank,the Permittee shall ensure that the Tank Owner and tank Operator receive a copy of the permit. 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 Bpd monitoring,response,and plot plans shall be maintained onsite with the permit. 5) The Permittee shall comply with the monitoring procedures referenced in this permit. 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, provide documentation of such servicing to this office. 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. 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 performed. 9) The EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change. 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 revocation. 11) Construction,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment. 12) This Permit to Operate shall not be considered permission to violate any laws,ordinances or statutes of any other Federal,State or Local agency. 13) A"Conditional"Permit may be revoked if corrections specified on the•inspection report'are not completed by the date(s) indicated. PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause. PERMIT(s) Valid only for: VERIZON CALIFORNIA INC DBA: " VERIZON CALIFORNIA(CENTRAL OF THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES VERIZON CALIFORNIA INC* Facility ID FA0003838 Regulated Facility: 430 W CENTER ST Account iD AR0003426 MANTECA CA 95366 Issued 3/13/2013 Billing Address: VERIZON CALIFORNIA INC* 2400 N GLENVILLE DR RICHARDSON TX 75082 7023-rpt