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4 v <br /> SAN JOA UIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E. Main St. a Stockton,CA 95202-3029 • Phone (209)468-3420 <br /> Donna Heran,R.E.H.S.,Directorxn$ <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 /> PRO536333 PT0022255 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 6/6/2011 To 12/31/2011 <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_25100tAgq,a_r�C___Titte- ,.-CF2alifornia_Code of Regulations,_Chap._20 <br /> - - - _-------------------------------------------------------------------------------------------------------- <br /> PRO535432 NDERGROUND STORAGE TANK FACILITY 6/6/2011 To 12/31/2011 <br /> Underaraarrd5 rage ank Program-. <br /> California Health and Safety Code,Div_20_,Chap._6.7 and Title 23,California Code- Regulations,Chap. 16. <br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection <br /> 2352 1 390005354320519781 PT0021696 30,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> 2350 2 390005354320519782 PT0021697 30,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> 2350 3 390005354320519783 PT0021695 30,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> Underground Storage Tank Permit Conditions s <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 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 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 must 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 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 /> 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 /> i 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 /> Y10) 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 /> �>t <br /> 12) This Permit to Operate shall not be considered permission to violate any laws,ordinances or statutes of any other Federal,State or Local agency. _ .F <br /> 13) A"Conditional"Permit maybe revoked if corrections specified on the inspection report are not completed by the date(s) indicated. <br /> PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: COSTCO WHOLESALE CORPORATION <br /> DBA: COSTCO <br /> r <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> COSTCO WHOLESALE#1091 Facility 1D FA0020431 <br /> Regulated Facility: 2680 REYNOLDS RANCH RD Account ID AR0036486 <br />( LODI CA 95240 Issued 6/9/2011 <br /> k " rL4 i <br /> AD <br /> Billing Address:* ATTN LICENSING <br /> COSTCO WHOLESALE #1091 <br /> PO BOX 35005 <br /> SEATTLE WA 98124-3405 <br />