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<br /> S%`.�t JOAQUIN COUNTY ENVIRONMENTAL HEALT EPARTMENT
<br /> 600E Main St. • Stockton,CA 95202-3029 Phone(209)468 3420
<br /> Donna Heran,R.E.H.S.,Director
<br /> 3 -
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit Permit
<br /> Record ID Number Program Code and Description Valid
<br /> PRO530695 PT0020773 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2012 To 12131/2012
<br /> Hazardous Waste Generator Program:
<br /> * � ;
<br /> In order to maintain the permit to operate, Hazardous Waste Generators shall comply with California Health and Safety Code,Div.20,Chap 6 5,Art.2-13,
<br /> Sec.25100 et seq,and Title 22,California Code of Regulations,Chap.20. a
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<br /> PR0231547 2300~-UNDERGROUND STORAGE TANK FACILITY r ` 1/1/2012 TO 1213112012
<br /> r Underground Storage Tank Program:
<br /> California Health and Safety Code,Div.20,Chap.6.7 and Title 23,California Code of Regulations Chap_ 16
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<br /> P/E Tank# Tank Record ID Permit lI Capacity Contents Permit Status System Type Leak Detection
<br /> 2362 1 390002315470154701 PT0005160 550 DIESEL Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> I7nderground Storage Tank Permit Conditions ry " z �
<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 shall 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 s
<br /> established by San Joaquin County.
<br /> K3j 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 Penni nee shall ensure that both
<br /> n 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. eF M ajt ; ,
<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 /> 1.0) 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. s ,
<br /> 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.:,
<br /> 13) A"Conditional'Permit may be revoked if corrections speciIRA-
<br /> fied on the inspection report are not completed by the date(s),indicated
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<br /> NO
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<br /> PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s)Valid only for: MCI CORPORATION
<br /> > � DBA: VERIZON BUSINESS
<br /> Tank Owner: MCI DBA VERIZON BUSINESS 'r,,
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> MCI DBA VERIZON BUSINESS Facility ID FA0003848
<br /> Regulated Facility:
<br /> 13850 N DE VRIES RD ID
<br /> AR0003436
<br /> LODI CA 95240 t ''`4 +' r c .1�4t "t `a x Issued
<br /> $
<br /> 2/23/2012
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<br /> Billing Address: >ATTN ,JASON WELLER
<br /> MCI DBA VERIZON BUSINESS '
<br /> x 2400 N GLENVILLE DR
<br /> f # RICHARDSON TX 75082 r } }, ,' f cry rxv °
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