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SANqkAN COUNTY PUBLIC HEALOSI#ICES 304 E. WEBER AVE„ HI" FLOOR • STOCKTON,CA 95202 • PHONE (209) 468-3420 KAREN FURST, M.D., M.P.H., HEALTH OFFICER DONNA HF.RAN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION ENVIRONMENTAL HEALTH COPY SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE, rogram ermrt Record ID Number Program Code and Description ermrt Valid PRO51366 PT00 -220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/00 To 12/31100 Hazardous Waste Genera or rogram: California Health and Safety Code Div. 20, Chap.6.5,An.2-13 Sec. 25100 et seq,and Title 22 California Code of Regulations,Chap.20. PR023136 2300-UNDERGROUND STORAGE TANK FACILITY - - - 1/1/00 To 12/31/00 Underground Storage Tank Program: California Health and Safety Code Div. 20,Chap.6.7 and Title 23 California Code of Regulations Chap. 1& PIE iankg I an K Memo 113 Pennoapace v on en s enol , a us 6ySLcm Iypc Zlibu 6 390002313640136408 1`10001434 10,000 c Ive 2360 7 390002313640136407 PT0004867 10,000 LEADED Active DOUBLE WALLED 2360 6 390002313640136406 PT0004866 20,000 DIESEL Active DOUBLE WALLED 2360 5 390002313640136405 PT0004865 2,000 OTHER Active 2360 4 390002313640136404 PT0004864 2,000 OTHER Active BOE-ID#:`"44-02466T—-- Underground Storage Tank Permit Conditions 1) the Permit to Operate wil I become void if Annual Permit Pees and Service Fees are not paid and/or the UST system(s)fails to remain in compliance with these Permit Conditions. 2) In order to maintain the operating permil, the Pent it holder shall comply with the H&S Code,Div.20,Chap.6.7 and 6.75;and CCR Ti lie 23,Chap. 16 and 18.as well as any conditions established by San Joaquin County. 3) I f thc'fank Opco torts)is dilferenl 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 the Tank Owner and tank Operator receive a copy of(lie permit. 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Division(PHS/HI ID)and arc considerenl UST Permit Conditions. Copies of the Procedures and Emergency Response flan must be attached to this permit or be available for review and/or inspection 5) t�lhhy,UST site. e ermdtec shall comply with the monitoring procedures referrenced in this permit. 6) The Permittee shall perform tealin6 and preventive main lcnance on all leak detection monitoring equipment annually,or more frequently ifspecified by the equipment manufacturer,and provide documentation of such servicing to this office. 7) In the event of a spill,leak,or other unauthorized release,the Pcrmi(ec shall comply with the requirements of Title 23 CCR,Chap. 16,Art.5,and the approved Emergency Response Plan. 8) Written records ofall 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 dale the monitoring was performed. 9) the PI I.S/EIID shall be notifier/of any change in ownership or operation of the UST system within 30 days of such change. 10) Upon any change in equipment,design or operation ofthe US'r system(including change in tank contents or usage),the Permit to Operate will be subjectto review,modification or revocation. 11) Construction,repair and/or removal permits arc required from the PHS/El ID prior to any change,repair or removal of UST system equipment. 12) The Permittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the anniversary date ofthe issuance of this permit. 13) This Permit to Operate shall not be considered permission to violate any laws,ordinances or statutes of any other Federal,Slate or Local agency. 14) A"Conditional'Permit may he revoked if corrections specified on the inspection report are not completed by the date(s) indicated. PERMITS TO OPERATE are NOT TRANSFERABLE and may be SUSPENDED or REVOKED for cause. PERMIT(s)Valid only for: KLUDT,STEPHEN C & RICHARD A DBA: E F KLUDT& SONS INC Tank Owner: KLUDT, STEPHEN C & RICHARD A THIS FORM MUS]'BE DISPLAVED CONSPICUOUSLY ONTHE HE PREMISES Regulated Facility: E F KLUDT& SONS INC Facility ID FA0003771 1126 E PINE ST Account ID AR0003351 LODI, CA 95240 Issued 10/1012000 7023.rp1