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OF <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.Weber Ave.,Third Floor e Stodmon,CA 95202-2708 a 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 Permit <br /> Record 11D Number Program Code and Description Valid <br /> PR023148 2300-UNDERGROUND STORAGE TANK FACILITY 111/2002 To 12/31/2002 <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 /> - - -------------------------------------------------Regulations <br /> ---- -------------------- <br /> FT 7/E Tank 4 Tank Record ID Permit# Capacity Contents Permit Status System Type <br /> 2360 6 390002314820504846 PT0007198 2,632 DIESEL Active,billable DOUBLE WALLED continuous Interstitial <br /> Monitoring <br /> 2360 5 3900023114820504845 PT0007197 6,768 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial <br /> Monitoring <br /> 2362 4 390002314820504844 PT0007196 2,632 REGULAR UNLEADED Active,billable DOUBLE WALLED Confinuoos Interstitial <br /> 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 18,as well as any <br /> conditions 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 <br /> both the Tank Owner and tank Operator receive a copy of the permit. <br /> 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Dcpartment(EHD)and are considererd UST Permit Conditions. The <br /> approved 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 pernk <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, <br /> and 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 <br /> 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 <br /> was 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 anniversary 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 /> PERM IT(s)Valid only for: MADSEN, ROBERT&CAROL <br /> DBA: MADSENS 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 3/2912002 <br /> Billing Address: ATTN : MADSEN, ROBERT <br /> MADSEN'S SUNRISE DAIRY <br /> 239 S STOCKTON <br /> RIPON, CA 95366 <br /> 7023.rpt <br />