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SAN JOAQUIN COUNTY ENVIRONMENTAL. HEALTH DEPARTMENT
<br /> 304 E.Weber Ave.,T1ird Floor • Stockton,CA 95202-2708 • Phone(209) 468-3420
<br /> Donna Hcrart, RE.H.S., Director
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Permit
<br /> Program Permit Valid
<br /> Record ID Number Program Code and Description
<br /> PR0521557 PT0014545 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 111/2004 To 1213112004
<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 seq,.and Title 22,Califomia Code of Regulations.Chap_201--__------------------------_------_.__._-----.-...---_.---------------.------ ----------------
<br /> PR0231482 2300-UNDERGROUND STORAGE TANK FACILITY 111/2004 To 12/3112004
<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 /> WE Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2360 6 390002314820504846 PT0007198 2,632 DIESEL Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 5 390002314820504845 PT0007197 6,768 REGULAR UNLEADED Active,billable DOUBLE WALLED Canunuous Interstitial Monitorng
<br /> 2362 4 390002314820504844 PT0007196 2,632 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstimi 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 system(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 13,as well as any conditions
<br /> established by San Joaquin County.
<br /> 3) If the Tank Operalora)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 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 Peron Conditions. The approved
<br /> monitoring.response,and plot plans shall be maintained onsite with the peri[
<br /> 5) The Perrittee 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 /> promide documentation of such servicing to this office.
<br /> 7) In the event of a spill,leak,or other unauthorized release,the Pennitee 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 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 /> 11) L4)fd&&Lglbu repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment.
<br /> 12) The Pemdtme shall submit an annual report documenting corTliance 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 maybe 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 Acoourd ID AR0000719
<br /> RIPON, CA 95366 lssued 411/2004
<br /> Billing Address:
<br /> MADSEN'S SUNRISE DAIRY
<br /> 239 S STOCKTON ST
<br /> RIPON, CA 95366
<br /> 7023.rpt
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