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SAN'JOAQU*OUNTY ENVERCINMLENTAL HEALPEPARTMENT
<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 /> Rec�dD --Program
<br /> Number Pro Code and Description _
<br /> Permit
<br /> 0528259 PT0019745_2310-'SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/112012 To 12/3112012
<br /> Ha ons NMe:Generator.Program
<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_25100_et seq, and Title 22,California Code of Regulations,Chap,20---------------------------
<br /> PRO527629 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2012 To 1213112012
<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 /> -- ---------- ------- - ' ---- ------------ -------
<br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detechdn
<br /> 2352 1 390005276290515846 PT0019359 30,000 REGULAR UNLEADED Active,billable DOUBLE WALLEDContlnuous Interstitial Monitoring
<br /> 2350 2 390005276290515841 PT0019360 30;000 REGULARUNLEADED Active,billable DOUBLE WALLED continuous Interstitial Monitoring
<br /> 2350 3 390005276290515842 PT0019361 .30,000 REGULAR UNLEADED 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 and/or the LIST.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 Cade,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 County.
<br /> 3) If the Tank Operators)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 most be approved by the Environmental Health Depamnent(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 spill,leak,or other"authorized reteme,the Penance shall comply with the requirements of Title 23 CCR,Chap,16,Ar.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 fora 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 web 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 permus 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 may be revoked;if corrections specified on the inspection report are 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 /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility: COSTCO WHOLESALE#1031 Facility ID FA0018721
<br /> 2440 DANIELS ST Account to AR0033237
<br /> MANTECA CA 95336 Issued 2/10/2012
<br /> Billing Address: ATTN LICENSING DEPT
<br /> COSTCO WHOLESALE #1031
<br /> PO BOX 35005
<br /> SEATTLE WA 98124-3405
<br /> 7023 rpt
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