ITanning é. Development Department Toxics Management Division February 28, 2014 Subject: Underground Storage Tank Operating Permit Dear Berkeley Underground Storage Tank Owner or Operator: Enclosed is your Underground Storage Tank (UST) Operating Permit is valid through February 28, 2015. Copies of the permit have been sent to both the operator and owner of the tanks as reported to the Toxics Management Division. Please maintain a copy of the permit at your facility. This permit is only granted to facilities that are in compliance with the permit conditions printed on the back of the permit. Failure to comply with those requirements may result in revocation of the permit, and/or assessment of penalties. These conditions must also be met for the operating permit to be issued in 2015. If you have any questions about the permit, please contact Karl Busche, Hazardous Materials Specialist II at (510) 9817460. Sincerely, ((Nabil Al~Hadithy Hazardous Materials Manager 2118 Milvia Street, 3rd Floor, Berkeley, California 94704 TEL: (510) 9817460 TDD: (510) 9817463 FAX: (510) 9817470 email: toxics@ci.berkeley.ca.us UNDERGROUND STORAGE TANK OPERATING PERMIT Planning and Development Department Toxics Management Division Effective Date: February 28, 2014 Expiration Date: February 28, 2015 Issue Date: February 28, 2014 TMD Approval Signature Business Name: Facility Address: 317 University Hall Number Street Berkeley, CA 94720 City State ZIP Code Universitv of California, Berkelev NA B.O.E. Storage Fee Account No. NAME ADDRESS TELEPHONE Owner of Tank(s) University of California, Berkeley PPCS, 2000 Carleton S_t, Berkeley, CA Facility Operator University of California, Berkele 317 University Hall, Berkeley, CA 24hr Emergency Contact UCPD Dispatch 1 Sproul Hall, Berkeley, CA TANK #2 REQUIREMENT Doe Tank ID Number (from Form B) U2 Capacity (gallons) 1,100 Substance Stored Diesel Tank Monitoring Method Interstitial Tank Construction/Material DW/FRP Pipe Monitoring Method InterstitiaiNisual Precision Pipe Construction/Material UGDW/AGSW Written Monitoring Program (y/n) Yes Cathodic Protection (y/n) N/A Financial Responsibility Statement (y/n) N/A Emergency/Spill Response Plan (y/n) Yes NOTE: YOUR UST OPERATING PERMIT IS GRANTED SUBJECT TO COMPLIANCE WITH THE PERMIT CONDITIONS DESCRIBED ON THE REVERSE SIDE OF THIS PAGE. 211B Milvia Street, Suite 300, Berkeley, California 94704 0 TEL: (510) 9817460 6 FAX: (510).981747O 0 TDD: (510) 9817474 email: toxics@ci.berkeley.ca.us UNDERGROUND STORAGE TANK OPERATING PERMIT CONDITIONS In order to maintain this operating permit, the permit holder must comply with the following: 10. 11. 12. 13. This permit is subject to all applicable requirements of Division 20, Chapter 6.7 and 6.75 of the California Health and Safety Code, and Title 23, Division 3, Chapters 16 and 18 of the California Cede of Regulations. This permit and permit conditions including the UST Monitoring Plan, Emergency Response Plan and plot plans shall be maintained at the facility. The permit holder shall notify the Toxics Management Division 30 days prior to any changes in the use of any tank, including the substances stored, changes to the monitoring system, or changes of the owner or operator. The owner/operator shall provide and comply with a written routine monitoring program and Emergency Response Plan established for this facility. All equipment shall be properly maintained and kept in good operating condition at all times. The permit holder shall comply with the state and federal financial responsibility requirements for underground storage tanks. The permit holder shall pay an annual fee per tank as designated each year, and all applicable state surcharge fees. The facility shall be inspected annually. In the event of a spill, leak, or other unauthorized release, the permit holder shall notify the Toxics Management Division within 24 hours, and comply with the requirements of CCR Title 23, Chapter 16, Article 5, Sections 2650, 2651, and 2652, and the approved Emergency Response Plan. If the tank operator is different from the tank owner, or if the Operating Permit is issued to a person other than the tank operator or owner, the permit holder shall ensure that both the tank owner and the operator receive a copy of this permit. Written records of all monitoring performed shall be maintained at the facility by the operator and be available for inspection for a period of at least three years from the date the monitoring was performed. The permit holder shall perform testing and preventative maintenance on all leak detection monitoring equipment annually, or more frequently if specified by the equipment manufacturer, and maintain records at the facility for a period of at least three years. Operation of the underground storage tanks and related equipment shall be conducted in compliance with all applicable state UST requirements. FAILURE TO COMPLY WITH ANY OF THE FOREGOING CONDITIONS MAY RESULT IN REVOCATION OF THIS PERMIT AND/OR ASSESSMENT OF PENALTIES. UNDERGROUND STORAGE TANK OPERATING PERMIT Planning and Development Department Toxics Management Division Effective Date: February 28, 2014 Expiration Date: February 28, 2015 Issue Date: February 28, 2014 TMD Approval Signature Business Name: Facility Address: 31? University Hall Number Street Berkeley; CA 94720 City State ZIP Code Universitv of California: Berkeley NA B.O.E. Storage Fee Account No. NAME ADDRESS TELEPHONE Owner of Tank(s) University of California, Berkeley PPCS, 2000 Carleton St, Berkeley, CA Facility Operator University of California, Berkeley 317 University Hall, Berkeley, CA 24hr Emergency Contact UCPD Dispatch 1 Sproul Hall, Berkeley, CA TANK #1 REQUIREMENT Koshland Tank ID Number (from Form B) U3 Capacity (gallons) 1.100 Substance Stored Diesel Tank Monitoring Method Interstitial Tank Construction/Material DW/FRP Pipe Monitoring Method InterstitialNisual Precision Pipe Construction/Material UGDW/AGSW Written Monitoring Program (y/n) Yes Cathodic Protection (y/n) N/A Financial Responsibility Statement (y/n) N/A Emergency/Spill Response Plan (y/n) Yes NOTE: YOUR UST OPERATING PERMIT IS GRANTED SUBJECT TO COMPLIANCE WITH THE PERMIT CONDITIONS DESCRIBED ON THE REVERSE SIDE OF THIS PAGE. 2118 Milvia Street, Suite 300, Berkeley, California 94704 0 TEL: (510) 9817460 0 FAX: (510)9817470 0 TDD: (510) 9817474 email: toxics@ci.berkeley.ca.us UNDERGROUND STORAGE TANK OPERATING PERMIT CONDITIONS In order to maintain this operating permit, the permit holder must comply with the following: 10. 11. 12. 13. This permit is subject to all applicable requirements of Division 20, Chapter 6.7 and 6.75 of the California Health and Safety Code, and Title 23, Division 3, Chapters 16 and 18 of the California Code of Regulations. This permit and permit conditions including the UST Monitoring Plan, Emergency Response Plan and plot plans shall be maintained at the facility. The permit holder shall notify the Toxics Management Division 30 days prior to any changes in the use of any tank, including the substances stored, changes to the monitoring system, or changes of the owner or operator. The owner/operator shall provide and comply with a written routine monitoring program and Emergency Response Plan established for this facility. All equipment shall be properly maintained and kept in good operating condition at all times. The permit holder shall comply with the state and federal financial responsibility requirements for underground storage tanks. The permit holder shall pay an annual fee per tank as designated each year, and all applicable state surcharge fees. The facility shall be inspected annually. In the event of a spill, leak, or other unauthorized release, the permit holder shall notify the Toxics Management Division within 24 hours, and comply with the requirements of CCR Title 23, Chapter 16, Article 5, Sections 2650, 2651, and 2652, and the approved Emergency Response Plan. lfthe tank operator is different from the tank owner, or if the Operating Permit is issued to a person other than the tank operator or owner, 'the permit holder shall ensure that both the tank owner and the operator receive a copy of this permit. Written records of all monitoring performed shall be maintained at the facility by the Operator and be available for inspection for a period of at least three years from the date the monitoring was performed. The permit holder shall perform testing and preventative maintenance on all leak detection monitoring equipment annually, or more frequently if specified by the equipment manufacturer, and maintain records at the facility for a period of at least three years. Operation of the undergroUnd storage tanks and related equipment shall be conducted in compliance with all applicable state UST requirements. FAILURE TO COMPLY WITH ANY OF THE FOREGOING CONDITIONS MAY RESULT IN REVOCATION OF THIS PERMIT AND/OR ASSESSMENT OF PENALTIES. Sm UNDERGROUND STORAGE TANK OPERATING PERMIT Planning and Development Department Toxics Management Division Effective Date: February 28, 2014 Expiration Date: February 28, 2015 Issue Date: February 28, 2014 Facility Address: 317 University Hall Number Street TMD Approval Signature Berkelev. CA 94720 City State ZIP Code Business Name: Universitv of California, Berkeley M B.O.E. Storage Fee Account No. NAME ADDRESS TELEPHONE Owner of Tank(s) University of California, Berkeley PPCS, 2000 Carleton St, Berkeley, CA (510) 6426416 Facility Operator University of California, Berkeley 317 Universly Hall, Berkeley, CA (510) 6423073 24hr Emergency Contact UCPD Dispatch 1 Sproul Hall, Berkeley, CA (510) 6426760 TANK #3LSC REQUIREMENT Tank ID Number (from Form B) U1 Capacity (gallons) 6,000 Substance Stored Diesel Tank Monitoring Method Interstitial Tank Construction/Material DW/Steel w/ FRP Pipe Monitoring Method interstitialNisual i Precision Pipe Construction/Material DWFRP/DWST Written Monitoring Program (y/n) Yes Cathodic Protection (y/n) N/A Financial Responsibility Statement (y/n) N/A Emergency/Spill Response Plan (y/n) Yes NOTE: YOUR UST OPERATING PERMIT IS GRANTED SUBJECT TO COMPLIANCE WITH THE PERMIT CONDITIONS DESCRIBED ON THE REVERSE SIDE OF THIS PAGE. 2118 Milvia Street, Suite 300, Berkeley, California 94704 0 TEL: (510) 9817460 0 FAX: (510)9817470 0 TDD: (510) 9817474 email: toxics@ci.berke|ey.ca.us UNDERGROUND STORAGE TANK OPERATING PERMIT CONDITIONS In order to maintain this operating permit, the permit holder must comply with the following: 10. 11. 12. 13. This permit is subject to all applicable requirements of Division 20, Chapter 6.7 and 6.75 of the California Health and Safety Code, and Title 23, Division 3, Chapters 16 and 18 of the California Code of Regulations. This permit and permit conditions including the UST Monitoring Plan, Emergency Response Plan and plot plans shall be maintained at the facility. The permit holder shall notify the Toxics Management Division 30 days prior to any changes in the use of any tank, including the substances stored, changes to the monitoring system, or changes of the owner or operator. The owner/operator shall provide and comply with a written routine monitoring program and Emergency Response Plan established for this facility. All equipment shall be properly maintained and kept in good operating condition at all times. The permit holder shall comply with the state and federal financial responsibility requirements for underground storage tanks. The permit holder shall pay an annual fee per tank as designated each year, and all applicable state surcharge fees. The facility shall be inspected annually. In the event of a spill, leak, or other unauthorized release, the permit holder shall notify the Toxics Management Division Within 24 hours, and comply with the requirements of CCR Title 23, Chapter 16, Article 5, Sections 2650, 2651, and 2652, and the approved Emergency Response Plan. If the tank operator is different from the tank owner, or if the Operating Permit is issued to a person other than the tank operator or owner, the permit holder shall ensure that both the tank owner and the operator receive a copy of this permit. Written records of all monitoring performed shall be maintained at the facility by the operator and be available for inspection for a period of at least three years from the date the monitoring was performed. The permit holder shall perform testing and preventative maintenance on all leak detection monitoring equipment annually, or more frequently if specified by the equipment manufacturer, and maintain records at the facility for a period of at least three years. / Operation of the underground storage tanks and related equipment shall be conducted in compliance with all applicable state UST requirements. FAILURE TO COMPLY WITH ANY OF THE FOREGOING CONDITIONS MAY RESULT IN REVOCATION OF THIS PERMIT AND/OR ASSESSMENT OF PENALTIES.
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