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<br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br />304 E. Weber Ave., Third Floor a Stockton, CA 95202-2708 • Phone (209) 468-3420
<br />Donna Heran, RE.H.S., Director
<br />SAN J'OAi1U[IV C.'O111V 1 Y CER'TT'''c,T»PI't'tMt',( & ENCY
<br />PERMIT TO OPERATE
<br />Permit
<br />Program Permit ro am Code and Description Valid
<br />Program Record ID Number p
<br />11112005 To 12/31/2005
<br />PR0521557 PT0014545 2220 -SMA QUANTITY HAZARDOUS WASTE GENERATOR FACILITY
<br />Hazardous Waste Generator Program: y Div. 20, Cha 6.5, Art. 2-13,
<br />In order to maintain the permit to operate, Hazardous Waste Generators shall complywith California Health and Safety Code, P•
<br />Sec, 25100 et s_ --____-ez12-C �_._{��r—n•ia�Code of Regulations,-- hap.__-,_-_-____-_____---__-.__.__--------- --------- -
<br />p 482
<br />der round St2300 -- UNDEPtGROUND STORAGE TANK FACILITY 11112005 To 12/3112005
<br />Lhi.Store a Program:
<br />Cal
<br />Code, Div. 20, Chap. 6.7 and Title 23, California Code of Regulations, Chap, 16___---___-_-------------_---------_-----_---_-_-_-_--
<br />---- --------- system Tvoe Leak Detection
<br />2362 4 390002314820504844 PT00071915 ,z,oaz DOUBLE WALLED Continuous Interstitial Monitoring
<br />2360 5 390002314820504845 PT0007197 6,768 REGULAR UNLEADED Active, billable
<br />2360 6 390002314820504846 PT0007198 2,632
<br />DIESEL Active, billable DOUBLE WALLED continuous Interstitial Monitoring
<br />Underground Storage Tank Permit Conditions
<br />I ) 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 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. Title 23, Chap. 16 and 18, as well as any conditions
<br />established by San Joaquin Comity.
<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 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 considererd 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 the 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 Pernitee shall comply with the requirements of Title 23 CCR, Chap. 16, Art. 5, and the approved Emergency Response Plan.
<br />8) Written records of al l monitoring performed shall be maintained on-site by the operator and be available for inspection fora period of at least three years from the date the monitoring was
<br />performed.
<br />9) The EHD shall beautified 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 Permittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the date ofthe issuance of this permit.
<br />13) This Permit to Operate shall not be considered permission to violate any laws, ordinances or statutes ofany other Federal, State or Local agency.
<br />14) A "Conditional" Permit may be revoked ifcorections 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 />Facility ID FAC000720
<br />Regulated Facility: MADSEN'S SUNRISE DAIRY Account ID AR0000719
<br />239 S STOCKTON ST Issued 2110/2005
<br />RIPON, CA 95366
<br />Billing Address:
<br />MADSEN'S SUNRISE DAIRY
<br />239 S STOCKTON ST
<br />RIPON, CA 95366
<br />7023.rpt
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