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<br /> SAN JOA �,� COUNTY ENVIRONMENTAL HE DEPARTMENT
<br /> 1 r 1 j r E Y G
<br /> •K � � S.. f r �r0
<br /> y ,t 600 E. Main St. • Stockton,CA 95202-3029 • Phone(209)468-3420 `S
<br /> Donna Heran,R.E.H.S.,Director
<br /> 4
<br /> ENVIRONMENTAL HEALTH
<br /> z SAN JO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> ,.
<br /> PERMIT TO OPERATE
<br /> Program
<br /> permit
<br /> Permit tom'
<br /> Record ID Number Program Code,air3�)t1QR r; Valid
<br /> PR0523180 PT0015776 2220-SMALL.Q{lWd AZARDOUS WASTE GENERATOR FACILITY �,,;' 1/1/2011 To 12/31/2011 '
<br /> Hazardous Waste Generator Program: ,
<br /> In order to maintain.the permit to operate, Hazar�I,a4i Ist fag'perators shall comply with California Health and Safety Code Div 20 Ch p.6.5,Art.2-13;
<br /> Sec.25100 et se ,and Title 22,California C d4 Rf 01a4ion =Chap.20_
<br /> RY A f
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<br /> PR0231873 2300 UNDEIIGROUIVrp STORAGE TANK FACILITY w - 1/1/2011 To 12/31/2011 T
<br /> Underground Storage Tank Program:
<br /> California Health and Safety Code,Dlv_2Q :Chap{6 7 ant�TlYle 23 CaUfornia Code of Regulations Chap 16:;;
<br /> ------------ -
<br /> a
<br /> P/E Tank# Tank Record ID Pet�rtit# pactty contents Permit Status System Type Leak Detection
<br /> 2362 3 390002318730515594 PT0011619 10,000 ? DIESEL Active,billable y' DOUBLE WALLED Continuous Interstitial Monitoring '
<br /> mss,
<br /> Underground Storage Tank Permit Conditions
<br /> - - - 1
<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 with these Permit Conditions *
<br /> _ y1
<br /> 2) In order to maintain the operating permit,the owner and operator shall comply with the H&S Code,Div.20,Chap.,4 7 and 6.75;and CCR,Title 23,Chap.16 and 18,as Well as any conditions d;
<br /> established by San Joaquin County. 4` ,
<br /> 3) If the Tank Operator(s)is different from the Tank Owner,or if the Permit to Operate is issued to a person other thgt;rihe 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 Pennittee shall comply,with the monitoring procedures referenced in this permit.
<br /> ;b) 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 /> 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 in
<br /> was
<br /> r. 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 2? "•' '> ��10) Upon any change in equipment,design or operation of the UST sj%gtem(including change in tank contents or usage),the Permit to Operate will be subject to review,modification or r
<br /> revocation.
<br /> jr
<br /> 11) Construction,repair and/or removal permits aro required froin xDe fi�it)piior to any change,repair or removal of UST system equipment: :n v Z s+
<br /> 12) This Permit to Operate shall not be considered permission ttlut 4io any laws,itttlinances or statutes of any other Federal,State or Local agency.
<br /> 13) A"Conditional"Permit may be revoked if correcuotis,ipeotfied othtlw pispe,'Wkitt report are not completed by the date(s) indicated
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<br /> FP 'PS 'QiJPERATE,may be}SUSPENDED or REVOKED for,ea>atse.
<br /> { J only for: PAC110 BELL�II+�VIRONMNTAL MGT
<br /> PF3 AtllT s 1/a(Id
<br /> DBA ; AT SrT
<br /> Tank Owner: PAC BELL TELE CO DBA AT&T CALI
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES r'=:
<br /> PACIFIC BELL UE058 (TRACY) pf �[� �' Facility ID
<br /> FA 003956
<br /> Regulated Facility:
<br /> 10 E 12TH ST Account ID
<br /> AR0003568 r w
<br /> TRACY CA 95376 t , " Issued 3/11/2011
<br /> ���i� ��oVr t� � r�-'r' �yJtec S - �'..•.t,'*r �� �M` Y �_ �
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<br /> Billing Address: ATTN AT&T ENVIRON HEALTH & SAFETY J F r`', r F` }
<br /> N) q `�'
<br /> PACIFIC BELL UE058 (TRACY)
<br /> t y ' 2600 CAMINO -MON 3E000 t
<br /> SAN RAMON CA 94583
<br /> 7023.rp1
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