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<br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 1868 E.Hazelton Ave. • Stockton, CA 95205-6232 • 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 /> Record ID- Number Progra de and Description Valid
<br /> PR0528259 PT0019745 2220--SW
<br /> ALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 111/2014 To 12/31/2014
<br /> Hazardous Waste Gaflermz7l�gram:
<br /> In order to maintain the permit to operate,Hazardous Waste Generators shall comply with California Health and Safety Code,Div.20,Chap.6.5,Art.2-13, _
<br /> Sec.251 00et seq,and Title 22,California Code of Regulations,Chap_20. _ _ ..........................
<br /> PR0527629 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2014 To 12/31/2014
<br /> Underground Storage Tank Program:
<br /> California Health and Safety Code,Div.-20-,-Chap.6.7 and Title 23,California Code of Regulations,Chap_16.
<br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2352 - 1 390005276290515840 PT0019359 30,000 REGULAR UNLEADED ACTIVE,BILLABLE DOUBLE-WALL Continuous Monitoring
<br /> 2350 2 390005276290515841 PT0019360 30,000 REGULAR UNLEADED ACTIVE,BILLABLE DOUBLE-WALL Continuous Monitoring
<br /> 2350 3 390005276290515842 PT0019361 30,000 PREMIUM UNLEADED ACTIVE,BILLABLE DOUBLE-WALL Continuous Monitoring
<br /> 2350 4 390005276290520529 PT0023011 1,500 OTHER ACTIVE,BILLABLE DOUBLE-WALL Continuous Monitoring
<br /> BOE ID#: 44039100
<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 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,W well as any conditions
<br /> established by San Joaquin County,
<br /> 3) If the Tank Operator(s)is different from the Tank Owner,or if the Persil 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 Bre permit.
<br /> 5) The Pennines 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 Permilee shall comply with the requirements of Title 23 CCR,Chap.16,ArL 5,and the approved Emergency Response Plan.
<br /> 8) Written records ofa11 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) 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 /> 13) A"Conditional"Permit maybe revoked if corrections specified on the inspection report arc not completed by the date(s) indicated.
<br /> PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s)Valid only for: COSTCO WHOLESALE CORPORATION
<br /> DBA: COSTCO
<br /> Tank Owner: COSTCO WHOLESALE,ATTN: LICENSING
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> COSTCO WHOLESALE#1031 FacilityID FA0018721
<br /> Regulated Facility: Accountf)
<br /> 2440 DANIELS ST AR0033237
<br /> MANTECA CA 95336 Issued 2/27/2014
<br /> Billing Address: ATTN LICENSING DEPT
<br /> COSTCO WHOLESALE #1031
<br /> .PO BOX 35005 _
<br /> SEATTLE WA 98124-3405
<br /> 7023rp1
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