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Vol SAN JOAQUIN COUNTY EN VIRONMFNTAL HEALTH DEPARTMENT 304 E-Weber Ave.,Third Floor• Stockton, CA 95202-2708• Phone(209)468-3420 Donna Herat, ILE.H.S.,Director ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY Program PERMIT TO OPERATE Permit Record ID Number Program Code and Description P. PR0518100 PT0011844 2220- IALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY `=..d Hazardous Waste Generator Program: 1/1/2004 To'12/3112004 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, Sec_25100 et seq.and Title 22:Califomia Code of Regulations,Chap.20, _ 0231470 2300-UNDERGROUND STORAGE TANK FACILITY Underground Storace Tank Program 1/1/2004 70 12/31/2004 California Health and Safety Code,Div_2__ Chap.6.7 and Title 23,Califomia Code of Regulations,Chap. 16. P/E Tank- Tank Reco d ID Permit# Ca tv r 2360 4 390002314700506341 PT0008782 40F0 PREMIUM UNLEADED us SYstem Type 2360 3 390002314700147003 PT0005502 6,000 REGULAR UNLEADED Active,b111ab1e DOUBLE WALLED m 2362 2 390002314700147002 PT0005501 10,000 DIESEL Active,billable DOUBLE WALLED Continuous lmMtitial onitoring BOE IO0:'44-006773 Active,billable DOUBLE WALLED Continuous iibnitonng Underground Storage Tank Permit Conditions 1) The Permit to Dlv M will become void if Annual Permit Fees and Service Fees are not paid and'or the UST systems)fails to remain in compliance with these Permit Conditions. 2) In order to mall 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 an%condicons established by Ser^loaguin County. 3) Ifthe Tank Opera:ogs)is different from the Tank Owner,or if the Permit to the Tank Owner acd tank Operator receive a copyof the Operate is issued to a person other than the owner or operator o(the tank,the Permittee shall ensure that both permit. 4) Whom Monitoring Procedures and an Emergency Response Plan must be approved by the Emirommental Health Department(EHD)and are considerl UST Perot Condition, rhe approved momtormil.ni and plot plans shall be maintained onsite with the permit. 5) The Pemcnee shall comply with the monitoring procedures referenced in this pemdl. 6) The Perri shah perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently if specified by the equipment camufacturr.and provide documen_ on of such servicing to this office. 7) In the event of a s ill.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. 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 performed 9) The EHD shall be mo ified of any change in ownership or operation of the UST system within M days of such change. 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 11) RK&iiii repay aril removal permits are required from the FHD prior to any change,rquv or removal of UST system equipment- 12) The Pemtimee shall submit an annual report documenting compliance with the UST Permit Conditimss within 30 days of the date of the issuance of this pemdt. 13) This Permit to Operate shall not be considered permission to violate any laws,ordinances or sranlles of any other Federal,State or Local agency. 14) A"Conditonal"Permit may be revoked if corrections specified on the inspection report are not completed by the dates) indicated PERMITS TO OPERATE are NOT TRANSFERABLE and may be SUSPENDED or REVOKED for cause. PERMIT(s)Valid only for: VAN DE POL ENTERPRISES Tank Owner: VAN DE POL ENTERPRISES INC THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES Regulated Facility VAN DE POL ENTERPRISES INC FacilityID FA0003911 816 E FRONTAGE RD Account ID AR0003501 RIPON, CA 95366 Issued 4/1/2004 Billing Address: ATTN : TOM VAN DE POL VAN DE POL ENTERPRISES PO BOX 1107 STOCKTON, CA 95201 7023 rpt