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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENTOJ <br /> 304 E.Weber Ave.,Third Floor• Stockton,CA 95202-2708• Phone(209)468-3420 <br /> Donna Haan,REH.S., Director <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Program Perri Permit <br /> Record ID Numb r Program ode and Description Valid <br /> PRO517875 PT0011 4 2220- MALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/12004 To 12/31/2004 <br /> Hazardous Waste General r Progra <br /> In order to maintain the perk—toop4rate,Hazardous Waste Generators shall comply With California Health and Safety Code,Div.20,Chap.6.5,Art.2-13, <br /> Sec.25100 et Beq,_and Title 22,California Code of Regulations,Chap.20. <br /> PROSIS624 2300-UNDERGROUND STORAGE TANK FACILITY 1/12004 To 12/31/2004 <br /> Underground Storage Tank Program: <br /> California Health and Safety Code,Div.20,Chap.6.7 and Tifle 23,California Code of Regulations,Chap16 <br /> -------------------------- ------------ ----------------------------- ---------------------------------------------------------------- <br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leal:Detection <br /> 2370 3 390005186240515650 PT0012150 20,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Corcr"^,=eaerstiaal Monitoring <br /> 2370 2 390005166240515649 PT0012149 20,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Ccrunuc,s 1,or5utial Monitoring <br /> 2372 1 390005166240515648 PT0012148 20,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Ccrciruos inerYJtial Monitoring <br /> Underground Storage Tank Permit Conditions <br /> I) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid ardor the UST system(s)fails to remain in compliance with these Pert 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 ax7 as my conditions <br /> established by San Joaquin County. <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 Perniree soli 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(ERD)and are considererd UST Permit Condmons 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 pemut. <br /> 6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently if specified by the equipact 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 Pemmitee shall comply with the requirements of Title 23 CCR,Chap.16,An.5,and the approved E _acy 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 3t.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.ramification or <br /> 11) Cd'906L4fbn,repair and/or removal permits are required from the EHD prior to any change.repair or removal of UST system equipment. <br /> 12) The Perini shall submit an annual report documenting cornpliance with the UST Pemdt 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 sumtes of my other Federal,State or Local agency. <br /> 14) A"Conditional'Permit may be revoked if corrections specified on the inspection repon are not completed by the dates) indicated. <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and 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 /> Regulated Facility: COSTCO WHOLESALE#38 Facility ID FA0001705 <br /> 1616 E HAMMER LN Account ID AR0001704 <br /> STOCKTON, CA 95210 Issued 411/2004 <br /> Billing Address: <br /> COSTCO WHOLESALE #38 <br /> 999 LAKE DR <br /> ISSAQUAH, WA 98027 <br /> 7023 rpt <br />