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SAN 3- _.QUIN COUNTY I LBLIC HEALT. _,ERVICES 304 E. WEBER AVE.,THIRD FLOOR - STOCKTON,CA 95202 - PHONE(209) 468-3420 KAREN FURST, M.D., M.P.H., HEALTH OFFICER DONNA RERAN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Program Permit Permit Record ID Number Program Code and Description Valid PRO514063 PT0010266 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 111/01 To 12/31/01 Hazardous Waste Generator Program: California Health and Safety Code_Div.20,Chap_6.5,-Art.-2-13 Sec.25100 et seq,and Title 22 California_Code_of Regulations_C_hap.20_ _ _ _ _ _ __ ____ _ PR0231309 2300-UNDERGROUND STORAGE TANK FACILITY 111/01 To 12/31/01 Underground Storage Tank Program: California Health and Safety Code Div_20,Chap_6.7 and Title 23 California Code of Regulations Chap._16- -- ---- -- - ------- - -- ---- - - - - -- - - - P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection 2360 6 390002313090507963 PT0009429 3,000 UNLEADED Active DOUBLE WALLED INTERSTITAL MONITOR 2362 5 390002313090507962 PT0009428 12,000 DIESEL Active DOUBLE WALLED INTERSTITAL MONITOR Underground Storage Tank Permit Conditions I) The Permit to Operate wig 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. 2) In order to maintain the operating permit,the permit holder shall comply with the H&S Code,Div.20,Chap.6.7 and 6.75;and CCR,Title 23,Chap. 16 and 18,as weg as any conditions established by San Joaquin County. 3) If the Tank Operator(s)is d ifferent 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 shag ensure that both the Tank Owner and tank Operator receive a copy of the permit. 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Division(PHS/EHD)and are considererd UST Permit Conditions. Copies of the Procedures and Emergency Response Plan must be attached to this permit or be available for review and/or inspection at the UST site. 5) The Permittee shall comply with the monitoring procedures referrenced in this permit. 6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently if specified bythe equipment manufacturer,and provide documentation ofsuch servicing to this office. 7) In the event of a spill, leak,or other unauthorized release,the Permitee shag comply with the requirements of Tale 23 CCR,Chap.16,Art.5,and the approved Emergency Response Plan. 8) Written records of all monitoring performed shag be maintained on-site bythe operatorand be available for inspection fora period of at least three years from the date the monitoring was performed. 9) The PHS/EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change. 10) Upon any change in equipment,design or operation ofthe UST system(including change in tank contents or usage),the Permit to Operate will be subject to review, modification or revocation. 11) Construction,repair and/or removal permits are required from the PHS/EHD prior to any change,repair or removal of UST system equipment. 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 ofthis permit. 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. 14) A"Conditional"Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated. PERMITS TO OPERATE are NOT TRANSFERABLE and may be SUSPENDED or REVOKED for cause. PERMIT(s)Valid only for: KISHIDA, GEORGE INC THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES Regulated Facility: KISHIDA, GEORGE INC Facility ID FA0003756 1725 ACKERMAN DR Account ID AR0003335 LODI. CA 95240 Issued 3/29/2001 Billing Address: ATTN : KISHIDA, GEORGE INC KISHIDA, GEORGE INC 1725 ACKERMAN DR LODI, CA 95240 7023.rpt