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SAN R WIN COUNTY PUBLIC HEALTH RVICES <br /> 304 E.WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 • PHONE (209)468-3420 <br /> KAREN FORST, M.D., M.P.H., HEALTH OFFICER <br /> DONNA HERAN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> zr lit <br /> Program Permit Program Code and Descri [ion Valid <br /> Record ID Number 8 P <br /> PRO51382 PT0010024 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1100 To 12131/00 <br /> Hazardous Waste Generator Program. <br /> California Health and Safety Code Div.20,Chap.6.5,Art.2-13 Sec.25100 at seq,and Title 22 California Code of Regulations,Chap_20. <br /> __ __ _ __ _ ____ _ _ _ _ ____ _ _ - 1/1100 To 12131100 <br /> PR023196 2300-UNDERGROUND STORAGE TANK FACILITY <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 am LCOf efml pe 1 y On to Clntl a u ys e <br /> m yp <br /> rm clive DOUBLE WACI. <br /> Zliou 11 DOUBLE WALLED AUTOMATIC TANK GUAGE <br /> 2360 10390002319630196310 PT00066410,000 REGULAR UNLEADED Active DOUBLE WALLED INTERSTITAL MONITOR <br /> 2360 9 390002319630196309 PT0006643 1,000 WASTE OIL Active <br /> 2380 8 390002319630196308 PT0006639 1,000 OTHER Active <br /> Underground Storage Tank Permit Conditions <br /> l) 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 Penn it Conditions. <br /> 2) In order to maintain the operating permit,the permit holder shall comply with the H&S Code,Div.20;Chap.6.7 and 6.75;and CCR Tt tic 23,Chap. 16 and <br /> 18,as well as any conditions established by San Joaquin County. <br /> 3) If the Tank Operator(s)is different from the Tank Owner,or if the Pent it 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 ofthe permit. <br /> 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Division(PHS/EHD)and are considererd <br /> UST Permit Conditions. Copies ofthe Procedures and Emergency Response Plan mutt be attached to this permit or be available for review and/or inspection <br /> 5) 1lhC US'f site. <br /> Ite eU=S ee shall comply with the monitoring procedures referrenced in this permit. <br /> 6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipmentgnnually,or more frequently ifspecified by the <br /> equipment manufacturer,and provide documentation of such servicing to this office. <br /> 7) In the event ofa spill,leak,or other unauthorized release,the Pennitee shall comply with the requirements of Title 23 CCR,Chap. 16,Art.5,and the <br /> approved Emergency Response Plan. <br /> 8) Written records ofall monitoring performed shall be maintained on-site by the operator and be available for inspection for a period ofat 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 ofthe UST system(including change in tank contents or usage),the Permit to Operate will be subject to <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 ofthe anniversary date ofthe 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 r <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: PG&E <br /> DBA: PG&E STOCKTON SERVICE CENTER <br /> Tank Owner: PG & E <br /> THIS FORM1I b1UST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Facility ID FA0006445 <br /> Regulated Facility: P G & E STOCKTON SERVICE CTR Account ID AR0008439 <br /> 4040 WEST LN Issued 912912000 <br /> STOCKTON, CA 95204 <br /> Billing Address: ATTN : ENVIRONMENTAL SPECIALIST <br /> P G & E STOCKTON SERVICE CTR <br /> PO BOX 930 <br /> STOCKTON, CA 95201 <br /> 7023rpt <br />