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<br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 304 E.Weber Ave.,Third Floor• Stockton, CA 95202-2708• Phone(209)468-3420
<br /> Donna Haran,RHH.S., Director
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit Permit
<br /> Record ID Number Program Code and Description Valid
<br /> PRO521557 PT0014545 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2007 To 12/31/2007
<br /> Hazardous Waste Generator Program:
<br /> In order to maintain the perm' o ope e, Hazardous Waste Generators shall comply with California Health and Safety Code,Div.20,Chap.6.5,Art.2-13,
<br /> Sec.25100 et seq,and Tit 22;Cal'rfor is Code of Regulations,Chap.20, -
<br /> ------------- - -- ----------- --------------- --- -- ---------------------------------------------------'----------------------------
<br /> PR0231482 2300-U DERGROUND STORAGE TANK FACILITY 1M/2007 To 1213112007
<br /> Underground Storage T nk Program,
<br /> California Health and. fety Code,D'_20,Chap.6.7 and Title,23,California Code of Regulations,Chap,16_ _ -
<br /> ---- ------------- -- ------------ ------ -- --------- --- -------- -------
<br /> P/E Tank/! Tank Record ID Perrnit N Capacity Contents Permit Status System Type Leak Det aims
<br /> 2362 4 390002314820504844 PT0007196 2,632. PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 5 '390002314820504845 PT0007197 6,768 REGULARUNLEADED Active,billable DOUBLE WALLED Continuous interstitial monitoring
<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 systems)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 19,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 shallensure 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 most be approved by the Environmental Health Department(EM)and are considemn!UST Permit Conditions. The approved
<br /> monitoring,response,and plot plans shall be maintained onsite with the permit
<br /> S) The Pennines 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 Permitee shall comply with the requirements of Title 23 CCR,Chap.16,Art.5,and the approved Emergency Response Plan.
<br /> S) Written records of all monitoring performed shall be maintained on-site by the operator and he 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 Permittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the dale 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 2/13/2007
<br /> Billing Address: -
<br /> MADSEN'S SUNRISE DAIRY
<br /> 239 'S STOCKTON ST
<br /> RIPON. CA 95366
<br /> 7023.rp1
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