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SAN JOA COUNTY PUBLIC HEALTH SE "' CES <br /> 304 E.WEBER AVE.,THIRD FLOOR STOCKTON,CA 95202 PHON (209)468-3420 �7 <br /> KAREN FURST, M.D., M.P.H., 14EALTII OFFICER <br /> DONNA HERRN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION " <br /> V� <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUiN COUNTY CERTIFIED UNI FI ED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> rogram Permit Permit <br /> Record TT) Number Program Code and Description Valid <br /> PRO51389 PT0010088 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/00 To 12/31/00 <br /> Hazardous Waste Generator Program: <br /> California Health and Safety Code Div.20,Chap.6.5,Art.2-13 Sec. 25100 et seq,and Title 22 California Code of Regulations,Chap.20. <br /> PR023227 2300-UNDERGROUND STORAGE TANK FACILITY 111/00 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 /> aIlk an k Kecordertnr apacr y on ens Fermit Status - ys em <br /> yp ' <br /> 23bu 9 300023227205794T-17`10008198 12,000 <br /> Active UOUBLF WALLED <br /> Y' <br /> 2360 8 390002322720505643 PT0008197 12,000 DIESEL Active DOUBLE WALLED <br /> BOE 11)#:`-`44�024524 <br /> Underground Storage Tank Permit Conditions <br /> 1) The Permit to Operate wil l 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) in order to maintain the operatingpermit,the pemuit holder shall comply with the H&S Code,Div.20,Chap.6.7 and 6.75;and CCR,Title 23,Chap. 16 and <br /> 18,as well as any conditions established by San Joaquin County. <br /> 3) If the Tank Opemtor(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 <br /> Permittee shall ensure that both the Tank Owner and tank Operator receive a copy of the permit. <br /> 4) Written Monitorin) Procedures and an Emergency Response Plan must be approved by the Environmental health Division(PHS/EHD)and are considcrerd <br /> UST Penn it Conditions. Copies of the Procedures and F,mergency Response flan must be attached to this permit or be available for review and/or inspection <br /> drd, shUST site. <br /> 5) Me ermittee all comply with the monitoring procedures referrenccd 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 <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 Permitec shall comply with the requirements of Title 23 CCR,Chap. 16,Art.5,and the <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 subject to <br /> review,modification or revocation. .: <br /> 1 I) 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 so bin it an annual report documenting compliance with the UST Permit Conditions within 30 days ofthe anniversary date of the issuance <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 /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. F <br /> PERMIT(s)Valid only for: CITY OF STOCKTON <br /> Tank Owner: STOCKTON CITY OF <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: COS MUNICIPAL SERVICE CTR Facility ID FA0003925 ,''; <br /> 1465 S LINCOLN ST Account ID AR0003517 <br /> STOCKTON, CA 95206 Issued 10/11/2000 <br /> 4 - <br /> Billing Address: ATTN : STOCKTON CITY ACCTS PAYABLE : <br /> CITY OF STOCKTON <br /> 425 N EL DORADO ST RM 312 <br /> STOCKTON, CA 95202 ' <br /> 7023.rpt <br /> 3 <br />