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_,. <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E.Hazelton Ave. a Stockton,CA 95205-6232 a Phone(209)468-3420 <br /> Donna Heran,R.E.H.S.,Director <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 /> — — 2 — —------._—_ —__ <br /> Hazardous Waste Generator Program: <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 2 lifornia Code of Regulations,Chap.20 _-_ ________________:_______________________ <br /> - -- ------------ ---------- <br /> PR0231881 2300j-UNDERGROUND STORAGE TANK FACILITY 1/1/2013 To 12131/2013 <br /> Underground Storage Tank ro m: <br /> California Health and Safety Code,Div._20,Chap._6.7 and Title 23,California Code of Regulations,Chap:16. <br /> – - -------------------------------- ------ -------- ----------- <br /> WE Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection <br /> 2372 2 390002318810515722 PT0015208 1,000 DIESEL Active,billable DOUBLE-WALL Continuous Interstitial Monitoring <br /> ftID# "44t11 � ,. <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 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 <br /> established by San Joaquin County. <br /> R 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 shall 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 fora 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) Constriction,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment. <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 specified on the inspection report are not completed by the date(s) indicated <br /> ------•----------------------------------------------------- -----------•----------------- -----------------------•----------- - ------•----•-----•--- ----------------------------------------- <br /> PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: PACIFIC BELL/ENVIRONMENTAL MGT <br /> Tank Owner: PACIFIC BELL DBA AT&T CA <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> PACIFIC BELL Facility ID FA0003946 <br /> Regulated Facility: 1812 COLEY AVE Account ID AR00035555 <br /> J ESCALON CA 95320 Issued 2/19/2013 <br /> I <br /> Billing Address: ATTN AT&T ENVIRONMENTAL, HEALTH&SAF <br /> PACIFIC BELL <br /> 2600 CAMINO RAMON 3E000 <br /> SAN RAMON CA 94583 <br /> 7023.rpt <br />