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,' , •' ,+',3'J - r .s°"�'..aa�� <br /> !'3 ` ]5{ ,'•` '�, F Y $•. 3 Jly,.9 L at0 <br /> - <br /> K <br /> 9AN JOAQU. UNTY ENVIRONMENTAL HEALT ZPARTIV11tNT <br /> t s°*� r � i,r i . 1�• ria r � g �1. �.,, <br /> �rtr,fr 600E Main St.. Stockton,CA 95202`-3029 • Phone(209)468-3420 , t p• L' <br /> 43- <br /> t S.,Director Donna Heran,R.E.H "' �' ,�°" '� �"r Y�� h'*� "��.� r"•�'rN�w�}�;``ti"�` � <br /> �.��..Y 4�:✓^[ "�,ya d f rpt � "��,,.f,•$� *�. <br /> + r K k4 4 ' '.•9. « a �} r [ SN, .Z AA c rrt,Yr''`�r s $, _. <br /> ENVIRONMENTAL <br /> t � p � �•.. S A `r rW{•s' 5y",•L"il.>r lY � *'Tta�k�,.r �i.:�.R t��i rel �- <br /> *y JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY �*sr � ���������y ,+ 7 <br /> µr PERMIT TO OPERATE . <br /> Prograjrr, x r„' Permit Permit <br /> a •l'Record ID Number Program Code and Description <br /> *& Valid <br /> PR0536333 PT0022255 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2012 To 12/31/2012 <br /> 'r+Hazardous Waste Generator Program: <br /> In`order to maintain the permit tooperate,Hazardous Waste.Generators shall comply with California Health and Safety Code,Div:20,Chap.6.5,Art.2-13, <br /> Sec.25100_et seg and.Title 22 California Code of Regulations Chap 20 __ <br /> — — ---- <br /> ' �PR0535432 2300-UNDERGROUND STORAGE TANK FACILITY �,k, ` ` r g 1t1/2Q12 To 12!3112012 <br /> e Underground Storage Tank Program: <br /> California Health and Safety Code Div.20,Chap.6.7 and Title 23 California Code of Regulations Chap 16 f Fr i 8 <br /> ce• — - - - --- ------- -- • ---- - --------------------------------------- <br /> --------- x- <br /> P/E' Tank# Tank Recor ID Permit# Capacity Contents Permit Status System Type�' Leak petection <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 /> m <br /> >k , f ss tr a <br /> rM ' t hc <br /> '� .1+SUnderground Storage Tank Permit Conditions � <br /> 1) 'tkr <br /> The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid and/or the UST system(s)fads 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 1&,as well as any conditions , <br /> s established by San Joaquin County. ` <br /> "I' 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 s <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 Pemmt Gondtuons,The approved }. <br /> r monitoring,response,and plot plans shall be maintained onsite with the permit. Y <br /> 7' ' r1 i, id xr 1 a t qr:,` ','x rir '�?"tr- a"F st p:. <br /> The Permittee shall comply with the monitoring procedures referenced in this pemut y ,,, .Rra r y, ro f_,_. c , N k <br /> tir 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 /> v <br /> provide documentation of such servicing to this office. <br /> 4.7) In the event of a spill,leak,or other unauthorized release,the Permitee shall comply with the requirements of Title 23 CC ,Cha .16,Art.5;and the approved Emergency Response PI ` <br /> aa. aF <br /> $) 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 Slate the morlitorng was <br /> s performed. <br /> The EHD shall be notified of any change in ownership or operation of the LIST 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 fo Operate will be subject to review,modification pt *, r <br /> t revocation. <br /> s 11) Construction,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment. <br /> 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 /> 13) A"Conditional"Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated <br /> y h,r Y �,r <br /> r; ('t x v � a s^� na d e aK 1 �r4 ,6'n ,..+� ro,a`�.` t8a,� ,>" .✓�- '4' x r ti.:.✓M j a ,:'o¢: �,,y ?r..'ti 1 <br /> F t '�� 4,,1,..;,,+.� -�'' r:, �r �'x';<oY,� ,�;y., .✓"-/�y a`Ey"- �; <br /> ti �- t,y, _ .xt wY S. 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", - ,s fi- 't� +M;!3�ti r �,• +"'� yY G, + s, h 'S';.?h C. aR° x <br /> n:• ` <br /> PERMITS TO OPERATE may be SUSPENDED or REVOKED for causer, <br /> PERMIT(s)Valid only for: COSTCO WHOLESALE CORPORATION <br /> DBA: COSTCO <br /> THIS FORM MUST BE DISPLAYED CONSPICU(��JS)<X<(1N THE PREMISES <br /> Y COSTCO WHOLESALE#1091 * ?"• °"ti' � d � Y Feodity ID FA002043'lI <br /> r Regulated Faglli �y w <br /> r 2680 REYNOLDS RANCH RD. I° `zY "°''`" 1r":'��'kHti �t" �tf*a rax rr ''AccountID <br /> t r _ , r Air. AR0036486 ` <br /> r I {• 4 W tx aJ xs t . s w <br /> `a r Iz'LODI CA 95240 0, � * �A :N Issued 2/10/2012 ro* fir. j <br /> „yAr<d { y.,�. .:.r o 2 - r <br /> t :'t r E •`x�' ��^ �:"�*�*yt.�s �tz�t'�Y v K 'I�e .��t '�bA ��'�+'" F"a.,�,{ aI' t'rr�a�� �. <br /> 3;y` '.. fi -.: .`k 'f- x � '` �` i •«, +^ °'� t r`` ,r•t 't ', ,�"r <br /> .� � x � r a 1�rr :r r y. f4�i � �.+.,5, �� '� +,r�'t`r� 6a"�' a.J i•-�.i r:. 2 , s r �%�S � -j�...Y <br /> 1 e'+�• J. M ' ' � �#•}� t��.#'°,Jr k'7 13F� a.. '".b��` r y�#�'1`dG f1r`.a� 'i4 f �;'(�^h,q-3 <br /> [Billing Address. AI TN } off$ '5a !fS <br /> t, r <br /> LICENSING fir sSdYX'errr �� 1 7t �i yc R 33z�a yC�dkC <br /> COSTCO' WHOLESALE #P1091 `b�� k�xj� ' rs xis ,k,•� �r'.as*��� r �`. rc s! '', s;,rx5'"`�a�1�� a �wF.J§' " <br /> PO BOX 35005 tibp y u»t f , n <br /> r S• 'S* ".„'` x, 'r`Yyy�"TM*y v��'�. Mti'YtL:.wlr 3 )i` �f :, , �•.i Y i tc ' <br /> 7 . SEATTLE WA 98124-3405 ' ,krk, t0 mss <br /> 'r .,' ;-r <br /> hg Y«o <br /> r h, r w+ , , ,. '„ :YI, �" 4r,° A!a` a <y,,.i� `,;i;'nA 3 ;t •t� x \ -,er rh. i' 5 <br /> o r � }•. �}�3 .�,,�,n a'.;;',r�, 5h»5 �1 ry- ;% k w d.. 'r �'. ',' ''T�-.rx�,.' ``lr�„y;• �' .,>e RC ::;iter. : -'4?,, .,,Aye � d � ��"k, <br /> +� _s..:7�, •� '" ..d`N,, r h i�.WS tOx-+ "�,�`. �S.t,,,�,tt t ��'�'�"�' x 'a i 3�? Xa t, �, -ye. 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