SAN JOAQUIN POUNTY ENVIRONMENTAL HEALTREPARTMENT
<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
<br /> Record ID Number Program Code and Description '.Permit
<br /> PRO628259 PT0019745 2220-'SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY Valid
<br /> .Hazardous Waste Generator Program' 1M/2012 To 12/31/2012
<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 et sect and Title.22,California Code of Regulations,Chap,20, __
<br /> ----
<br /> �i527629, :.. — --.
<br /> Yoram, NDERGROUND STORAGE TANK FACILITY
<br /> 1red`-- .mss-r -.------
<br /> 1/1/2012 To 1213112012
<br /> California Health and Safety Code, Div.20,Cha 6.7 and Title 23,California Code of Re ulgyons,Cha
<br /> --- ----- -- y - -- ........p' __ ..........
<br /> --- . ----- - - - - _16.____1- -- ---- ---------- ---- --------------------Tank# Tank Record ID Permit# 'Capacity Contents Permit Status stem Type
<br /> 2352 1 390005276290515840 PT0019359. 30,000 REGULAR UNLEADED yDetection
<br /> 2350 2 390005276290515841 PT0019360 30;000 REGULAR Active,billable o UBLE WALLED Continuous interstitial Monitoring
<br /> LA Active,billable 'DOUBLE WALLED 'Continuous interstitial Monitoring
<br /> BQE 3 390005276290515842 PT0019361 .30,000 REGULAR UNLEADED Active,billable 'DOUBLE WALLED continuous Interstitial Monitoring
<br /> BQE ID#; 44U391DD„ ., y
<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 LIST.system(s)fails to remain in compliance with these Permit Condilmos.
<br /> 2) In order to maintain the operating permit,the owner and operator shall comply with the H&S Code,Diva 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 Comfy.
<br /> 3) Ifihe Tank Opem(or(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 ensue that both
<br /> the Tank Owner and tank Operator receive a copy of the permit.
<br /> 4) Written Monitoring Procedures and an Emergency Response Pin most be approved by Are Environmental Health Department(EHD)and are considererd UST Permit Conditions.The approved
<br /> .monitoring,response,and plat plans shall be maintained onsite with the pemut.
<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 serviciog to this office.
<br /> 7) In the event of spill,leak,or other;unauthorized release,the Permrtee 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-siteby 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 EHp 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) Cons"clion,repair and/or removal permits are required from the EHD prior to my change,mpair or removal of UST system equipment.
<br /> 12) This Permit to Operate shall not be considered permission to violate my laws,ordinances or statutes of my other Federal,Some or local agency.
<br /> 13) A"Conditional"Permit maybe revoked ifcom"fions specified on the inspection report are not completed by.the dale(s) indicated.
<br /> PERMITS TO OPERATE may be SUSPENDED or.REVOKED for cause.
<br /> PERMIT(s)Valid only for: COSTCO WHOLESALE CORPORATION
<br /> DBA: COSTCO
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility: COSTCO WHOLESALE#1031 Facility ID FA0018721
<br /> 2440 DANIELS ST Account ID AR0033237
<br /> MANTECA CA 95336 Issued 2/10/2012
<br /> Billing Address: ATTN : LICENSING DEPT
<br /> COSTCO WHOLESALE #1031
<br /> PO BOX 35005
<br /> SEATTLE WA 98124-3405 .
<br /> 7023,Tt
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