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SAN JOAQURCOUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />600 E. Main St. • Stockton, CA 95202-3029 • 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 <br />Permit <br />Record ID Number Program Code and Description <br />Valid <br />PRO521557 PT0014545 2220 -SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY <br />1/1/2009 To 12131/2009 <br />Hazardous Waste Generator Program: <br />In order to maintain the permit to operate, Hazardous Waste Generators shall comply with California Health and Safety <br />Code, Div. 20, Chap. 6.5, Art. 2-13, <br />Sec. 25100 et se , and T_41_e__2.2, California Code of Regulations, Chap. 20: <br />BR 1482 2300-INDERGROUND STORAGE TANK FACILITY <br />1/1/2009 To 12/31/2009 <br />Underoround Storage Tank-Pfoar5m: <br />California Health and Safety Code, Div. 20, Chap. 6.7 and Title 23, California Code of Regulations, Chap, 16_ _ <br />.................. <br />2360 5 390002314820504845 PT0007197 6,768 REGULAR UNLEADED Active, billable DOUBLE WALLED Continuous Interstitial Monitoring <br />2360 6 390002314820504846 PT0007198 2,632 DIESEL Active, billable DOUBLE WALLED Continuous Interstitial Monitoring <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 andNor 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, Tide 23, Chap. 16 and 18, as well as any conditions <br />established by San Joaquin County. <br />3) Ifthe 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 ounsidererd 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 die 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 Permites 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 for a 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) Construction, repair and/or removal permits are required from the EHD prior to any change, repair or removal of UST system equipment. <br />12) The Pamrinee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the date of the issuance 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 corections specified on the inspection report are not completed by the date(s) indicated. <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: MADSEN, ROBERT & CAROL <br />DBA: MADSEN'S SUNRISE DAIRY <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: MADSEN'S SUNRISE DAIRY Facility ID FA0000720 <br />239 S STOCKTON ST Account ID AR0000719 <br />RIPON CA 95366 Issued 2/4/2009 <br />Billing Address: <br />MADSEN'S SUNRISE DAIRY <br />239 S STOCKTON ST <br />RIPON CA 95366 <br />7023 rpt <br />