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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTPEPARTMENT <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 Permit <br /> Record 1D Pro mm Code and Description Valid <br /> PR0528259 PT0019745 2220-SMAII.I.QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2011 To 12131/2011 <br /> us Waste Generator Pro ram: <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 at seq,and Title 22,California Code of Regulations,Chap,20,. _ _ _____ ___ _ ___ _ _ _ _ <br /> PR0527629 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2011 To 12131/2011 <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 Detection <br /> 2352 1 390005276290515840 PT0019359 30,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> 2350 2 390005276290515841 PT0019360 30,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> 2350 3 390005276290515842 PT0019361 30,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial 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) 10 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 Coma y. <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 penniL <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 Permitee 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 E-ID 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 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 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 /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> COSTCO WHOLESALE#1031 FacilitylD FA0018721 <br /> Regulated Facility: 2440 DANIELS ST Account ID AR0033237 <br /> MANTECA CA 95336 Issued 3/8/2011 <br /> Billing Address: ATTN : LICENSING DEPT <br /> COSTCO WHOLESALE #1031 <br /> PO BOX 35005 <br /> SEATTLE WA 98124-3405 <br /> 7021mt <br />