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SAN JOAQURCOUNTY ENVIRONMENTAL HEALTH DEPARTMENT <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 PermitPermit <br /> Record ID Number Program Code and Description Valid <br /> PRO521557 PT0014545 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2009 To 12131/2009 <br /> Hazardous Waste Generator Program: <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 se ,and Title 22,California Code of Regulations,Chap.20: <br /> -- --- ND <br /> BR 1482 30 2300�INDERGROUND STORAGE TANK FACILITY 1/112009 To 12/31/2009 <br /> Underoround Storage Tank-Pfmgm: <br /> California Health and Safety Code, Div.20,Chap.6.7 and Title 23,California Code of Regulations,Chap, 16..................... <br /> ----- ----- --- -- -- ----------- ----- <br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detecnon <br /> 2362 4 390002314820504844 PT0007196 2,632 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> 2360 5 390002314820504845 PT0007197 6,768 REGULAR UNLEADED Acbve,billable DOUBLE WALLED Continuous Interstitial Monitonng <br /> 2360 6 390002314820504846 PT0007198 2,632 DIESEL 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 systemt(s)fails to remain in compliance with these Permit Conditions. <br /> 2) In order to maintain 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 any 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 Permittee shall ensure that both <br /> the Tank Owner and took 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 oonsidererd UST Permit Conditions. The approved <br /> monitoring response,and plot plans shall be maintained onsite with the permit. <br /> 5) The Permittee shall comply with die 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 Permites 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 performedshall 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 <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,modification or <br /> revocation. <br /> 11) Construction,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment. <br /> 12) The Parnmee shall submit an annual report documenting compliance with the UST Permit 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 statutes of any other Federal,State or Local agency. <br /> 14) A"Conditional"Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated. <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: MADSEN, ROBERT& CAROL <br /> DBA: MADSEN'S SUNRISE DAIRY <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: MADSEN'S SUNRISE DAIRY Facility ID FA0000720 <br /> 239 S STOCKTON ST Account ID AR0000719 <br /> RIPON CA 95366 Issued 2/4/2009 <br /> Billing Address: <br /> MADSEN'S SUNRISE DAIRY <br /> 239 S STOCKTON ST <br /> RIPON CA 95366 <br /> 7023 rpt <br />