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SAN JOAQUIN CONTY ENVIRONMENTAL. HEALTH DI*111
<br />MENT
<br />'*,A1,
<br />304 E. Weber Avc-, Third Floor • Stockton, OA 95202-2708 • Phone (209) 468-3420
<br />Donna Hcran, RF— H.S..,�e
<br />Director
<br />LTH
<br />SAN J QNIVIRONUIN COUNTY MENT UNIFIED F'C AM AGENCY
<br />PERMIT TO OPERATE
<br />knoll
<br />valid
<br />Program renin Program Code and Description
<br />Record ID Number 1/112003 To 12131/2003
<br />PR0521557 PT0014545 2220 - SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY
<br />I la[ardeus Waste. Generator Program:_ -
<br />California Health and Safety Code. DIV. 20, Chap. 6.5, Art. 2-13, Sec. 25100 el seq, and Title 22, California Code of Regulations, Chap.
<br />To 112/3112003
<br />PR0231482 2300 - UNDERGROUND STORAGE TANK FACILITY
<br />Underground Storage Tank Prooram:
<br />_.
<br />California Health and Safety Code Dtv. 20, Chap. 6.7 and Title 23, California Code o es u _ - __
<br />.
<br />-
<br />-- ------- - ,. leak lklechon
<br />pltJtL rrurvc, u,n�....,
<br />2360 6 390002314820504846 PT0007198 2,632 REGULAR UNLEADED Active, billable DOUBLE WALLED Continuous Interstitial Monitoring
<br />2360 5 390002314820504845 PT0007197 6,768 REGULAR UNLEADED Active, billable DOUBLE WALLED Continuous interstitial Monitoring
<br />2362 4 390002314820504844 PT0007196 2,632
<br />BOE ID#:`44-020313'
<br />Underground Storage Tank Permit Conditions
<br />1) The Permit to Operate will become void it Annual Permit Fees and Service Fees are not paid and/or the UST sys7 ,,it (ails to remain in compliance with these as well Conditions.
<br />2) In order to maintain the operating permit, the owner and operator shall conydy with the H&S Code, Div. 20, Chap. 6.7 and 6.75; and CCR, Title 23, Chap. I G and I e, as well as any conditions
<br />established by San Joaquin County.
<br />3) If the Tank Operator(s) is di Rerent from the Tank Owner, or if the Permit to Operate is issued to a person other than the owner or operator of the rank, the Permittee shall ensure that bol
<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 Depamnent (131113) and arc emrsiderenl UST' Pemrit Conditions. The approve
<br />monitoring, response, and plot plans shall be maintained onsite with the perm
<br />5) The Pemrittee shall comply Will' the monitoring procedures rcfercnced in this penult.
<br />6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually, or more frequently ifspecilied by the equipment manufacturer, and
<br />provide documentation ofsuch servicing to this office.
<br />7) In the event of a spill, leak, or other unauthorized release, the Permilee shall comply with the requirements of Title 23 CCR, Chap. IG, 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 dale the monitoring was
<br />performed.
<br />9) Tile EHD shall be ootirmll ofany change in ownership or operation ofthe UST system within 30 days of suet, change.
<br />10) Upon any change in equipment, design or operation ofthe UST system (including change in lank contents or usage), the Permit to Operate will be subject to review, modification or
<br />11) (Sty6T flout, repair and/or removal permits are required from We 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 ofthe anniversary dale ofthe 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, Stale or Local agency.
<br />14) A "Conditional" Permit may be revoked ifcorections specified on the inspection report are not completed by the dates) indicated.
<br />PERMITS TO OPERATE are NOT I IANSFERABLE
<br />and may be SUSPENDED or REVOKLII for cause.
<br />�r
<br />PERMIT(s) Valid only Tor: MIAUOMIM, nvoa
<br />DBA: MADSEN'S SUNRISE DAIRY
<br />THIS FORM MUS r un uanrLn a nv L,,— —
<br />Regulated Facuity: MADSEN'S SUNRISE DAIRY
<br />239 S STOCKTON ST
<br />RIPON, CA 95366
<br />Billing Address:
<br />MADSEN'S SUNRISE DAIRY
<br />239 S STOCKTON ST
<br />RIPON, CA 95366
<br />7023.rpt
<br />HE PRh -USES
<br />Facility ID FA0000720
<br />Account'D AR0000719
<br />issued 7/1612003
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