Closure Authorization For Hazardous Substance Underground Storage Tanks (Page 2 of 2) in pdf

UNDERGROUND STORAGE TANKS

CLOSURE INFORMATION

This authorization to temporarily or permanently close an underground storage tank (UST) pursuant to Los Angeles County Code,

Title 11, Division 4. This authorization may also be used for product piping removal associated with an existing or removed USTs.

This authorization will not be approved unless a valid Hazardous Substance Underground Storage Permit (HSUSP) application is on file

with the DPW or an Unified Program Facility Permit has been issued by the Certified Unified Program Agency (CUPA).

Submittals, including this authorization, made on behalf of the UST owner, operator, or Unified Program permit owner or operator shall

be accompanied by written authorization.

USTs closed on site, by removal, or cleaning and filling with an inert solid substance prior to January 1, 1984, need not comply with

current closure requirements, however, contamination related to these USTs must be reported and investigated.

All work shall be carried out in full compliance with all applicable federal, state and local laws, ordinances, rules and regulations.

All fees due to DPW and/or to the CUPA for the operation and/or maintenance of the facility subject to closure through the date of

closure shall be paid in full.

Closure authorizations are site specific and may be subject to additional sampling and site characterization requirements as necessary

to protect the public health and safety, underground and surface water supplies, and may include requirements, requested by Federal,

State or other regulatory agencies.

All inspection notification(s) shall be made as directed by the attached conditions of this approval.

Within 30 days after closure, all requirements of this Closure authorization shall be furnished to the DPW in a closure report per the

DPW Closure Report Requirements and Supplements, describing all work completed, results of any required sampling, disposition of

any contaminated soils or substances found and any other requirements made part of the closure application as well as submittal to the

CERS database of the Unified Program UST FACILITY and UST TANK information for each UST removed or closed.

10.

In all cases, closure authorizations expire 180 days from the date of issue unless otherwise specified. It is the responsibility of the

owner or operator to make sure that the final report contains the required information and is submitted to the DPW within 30 days from

the sampling date or 180 days from the date of the permit issuance, whichever is earlier. The total number of tanks listed on the

HSUSP or UP Permit and the yearly annual permit maintenance billing will remain unchanged until the closure report is received by the

DPW. Only one copy of the closure report needs to be submitted unless otherwise directed.

11.

This Closure Authorization is considered complete when all requirements of this Closure Authorization and the Permit have been met.

12.

The DPW will review the closure report and will issue closure certification with no further action when all requirements of this Closure

Authorization and Permit have been met, and where no unauthorized release has been found.

13.

If an unauthorized release has occurred or any detected constituent in soil or groundwater is found above the method detection limit of

an analytical method as identified in the laboratory testing requirements, reporting of this unauthorized release must comply with the

Health and Safety Code Division 20, Chapter 6.7.

14.

Where an unauthorized release has occurred, referral of the closure report will be made to a Regional Water Quality Control Board or

State Water Resources Control Board who will then provide further direction until closure certification is issued.

15.

All correspondence related to this closure authorization shall include the SITE-FILE numbers listed on the front of this document, found

in the upper right box and be addressed to the following location:

DEPARTMENT OF PUBLIC WORKS

ENVIRONMENTAL PROGRAMS DIVISION

900 SOUTH FREMONT AVENUE

ALHAMBRA, CA 91803-1331

CERTIFICATION OF COMPLIANCE WITH

LOS ANGELES COUNTY LOBBYIST ORDINANCE

This is to certify that I, as permit applicant for the project located at_________________________________________________________________________________,

LOCATION ADDRESS

am familiar with the requirements of Los Angeles County Code Chapter 2.160 et seq., (relating to the Los Angeles County Lobbyist Ordinance) and all persons acting on

behalf of myself have complied and will continue to comply therewith through the application process.

____________________________________________________________

________________________________________________________

APPLICANT (PRINT NAME)

APPLICANT SIGNATURE

____________________________________________________________

________________________________________________________

COMPANY NAME (If employed by an entity/agency)

DATE

If you suspect fraud or wrongdoing by a County employee, please report it to the County Fraud Hotline at 1-800-544-6861 or

You may remain anonymous.

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