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<br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 304 E.Weber Ave.,Third Floor•SbocJrran,CA 95202.2708• Phone(209)468-3420
<br /> Donna Henan,RE.H.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 1/1/2006 To 12131/2006
<br /> Hazardous Waste Generator Program:
<br /> In order to maintain the perm8,to operate,Hazardous Waste Generators shall comply with California Health and Safety Code,Div.20,Chap.6.5,.Art.2-13,
<br /> Sec,25100 at seq,and Title 22,California Code of Regulations,Chap.20__ _____________________________________.__________.._________________;__.________,____.__
<br /> -----
<br /> PR0231482 2300-UNDERGROUND STORAGE TANK FACILITY 1/112006 To 1213112006
<br /> Underground Storage Tank Program: .
<br /> California Health and Safety Code,Div.20,Chap.6.7 and Title 23,California Code of Regulations,Chap,16._:___________________ ---------------
<br /> -------------------------------
<br /> - ------ — ----------------------- -
<br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2362 4 390002314820504844 PT0007196 2,632 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous InterstitialMonitor,
<br /> 2360 5 390002314820504845 PT0007197 6,768 REGULAR UNLEADED 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 in Operate will become void if Annual Permit Fees and Service Fees are not paid and/orthe UST systeri fails in 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 aperson other than the owner or operator of the tank,the Permittee shall 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 most be approved by the Environmental Health Department(EHD)and are considererd 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 the monitoring procedures referenced in this permit.
<br /> 6) The Permittee shall perform testing and preventivemaintenanceon at 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 /> -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 date the monitoring was
<br /> performed -
<br /> 9) The RHD shall be notified of my 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 my change,repair or removal of UST system equipment.
<br /> 12) The Permittee shall submit an arcual 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 beconsidered 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 dale(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 2/3/2006
<br /> Billing Address:
<br /> MADSEN'S"SUNRISE DAIRY
<br /> 239 SSTOCKTON ST
<br /> RIPON- CA 95366
<br /> 7023.p1
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