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SAN JOA _
<br />QUIN COUNTY ENVH2ONMENTAL HEALTH DEP
<br />600 E. Main St. • Stockton, CA 95202-3029 • Phone (209) 468-3MENT
<br />20
<br />D
<br />Drina Heran, H.S., Director
<br />ENVIRONMENTAL HEALTH
<br />SAN JOAQUIN COUNTY CERTIFIED U
<br />Pro Permn i PERMIT TO OPERATNIFIED PROGRAM AGENCY
<br />Record to
<br />NumberProgram Code and Description
<br />logintnn
<br />Hazardous WasterGenerator Pro20aSMA
<br />LL QUANTITY HAZARDO
<br />US WASTE GEN Petmu
<br />In order t0 maintain the permit to operate, Hazardous Waste Generators shall comply WiryCalifornia Hea th and Safety Code, Div. 20, Chap. 6.5, Art. 2.73,
<br />Sec. 251D0 et se i and Title it t Operate.
<br />Hazardous
<br />of Re ante G Chap. 1p;20, C a 6. 12/3122012
<br />---------"-- --"-----"----""-"------__-"-6-
<br />PR0231470 _p
<br />Under round Stora a Tank Program,-gNDERGROUND STORAGE TANK FACILITY _
<br />_.-------------"-"-
<br />California Health and Safe ---" "
<br />-- -------------- Safety Code, Div. 20 Cha 6 7 and 1/1/2012 To 12/31/2012
<br />---"-- -"---------'-----P'--`-"-- Title 23. CaGfn..,;., .._._ -_ .
<br />"""`e'er uvl4/002 PTO 05501 10,000 y"..""'s PeO" Status
<br />360 3 390002314700147003 PT0RE
<br />005502 6,000 REGULAR UNLEADED System Type Leak Detection
<br />2360 4 390002314700506341 PT0008782 4,000 PREMIUM UNLEADED DIESEL Active, billable DOUBLE WALLED continuocs imenmial Monitoring
<br />Active, billable DOUBLE WALLED Cominuous inemin,, ,,mmm,
<br />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 UST system(s) fails to remain in compliance with these permit Conditions.
<br />2) es order edmaintain the Joaquin
<br />Co ng 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 County,
<br />3) If the Tank Operalor(s) is different from the Tank Owner, or if the Permit In Operate is issued to a person other than the owner or operator of the tank, the Perminee 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 permit.
<br />5) The Pemtiaee 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 Pernitee shall comply with the requirements of Title 23 CCR, Chap. 16, An. 5, and the approved Emergency Response Plan.
<br />8) Written performed.
<br />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 dare the monitoring was
<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 rank contents or usage), the Permit to Operate will be subject to review, modification or
<br />revocation.
<br />11) Construction, repair and/or removal permits =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 sonatas of any other Federal, State or local agency.
<br />13) A "Conditional" Permit may be revoked ifcorrections specified on the inspection report are not completed by the date(s) indicated.
<br />---------------- ____"------- __._-_--------- .--- --- ------ .------- --------------- -
<br />PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause.
<br />PERMIT(s) Valid only for: VAN DE POL ENTERPRISES
<br />Tank Owner: VAN DE POL ENTERPRISES INC
<br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br />VAN DE POL ENTERPRISES INC Facility o FA0003911
<br />Regulated Faulity: 816 E FRONTAGE RD AocountlD AR0003501
<br />RIPON CA 95366 Issued 2/10/2012
<br />Billing Address: ATTN : TOM VAN DE POL
<br />VAN DE POL ENTERPRISES
<br />PO. BOX 1107
<br />STOCKTON CA 95201
<br />7023 rpt
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