,' , •' ,+',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. "'.: 'z .o' .e ,t k ,,: �r "a•r,�'xM�'t:a, Fit t ,r: v
<br /> -"ksk,
<br /> f , - :^E r r .• Si ` 5. ^r x'�'ie F7 " 1•- .r Sr ,.. q ..A
<br /> 4 r j 7 t � r .�"'� -%�K `'�C Yr r tx et '• 5 Sk" s # ?"'
<br /> r :fi iY r '�:� .,*r +h,. i;, 4,•.., s 5r\.^�.;rA' ♦ A ,.t°v Xr 1� ,,�, s 3.t•. '.:r� t E » "4;+."3, �.r+
<br /> ' I ..Z yr 4 is.'dz II}.,.�.... ,s� -;s 'h 1�.rt',.Zr{c+'. ; 7 I' xt--ar y. •��r syti - :P Z /.. •�i ro +<K t4 }.,.
<br /> 4,7
<br /> y� �'- f'_ `� rr� 't,x'.a a ,''• ! + 1 s i'Y .T.Aar , ' , ,fir S p s+,��C'?`T"',",r�.;N1'e t ,t.
<br /> •sem ... !+ 'h a e.,rn"'" y '�K a •`. r y.*ave s ? .
<br /> ,;: ct.•. �'v Fvr< 4 r�:- f -rk` Y�,Yt'.*. a,ta�y S �,,1, .�,f"y ..
<br /> r -. .," ^,f t t *• � d sr xt.. ", - ,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. '• `.: ,' �inY t' V i�,`��Vt �:.
<br /> `:7. .�•�, r : .� ,a y'rt,��•. #,f,���s wexo s��' a.. r _k'�' ��m�.,�'"7,L,}�. s��+P 'z�t a' t'14s �f!?�# t+c.��.� x. �•� '.:b y-r. i` �M1.j¢ ...q'w ,{
<br /> } .•f �x'!'r C-ql d,*-0 +. Y '�il� .<-�G'�. .s'� ti. �e ,fir 77jt i"'.�. �+ S t rr 5.,"is.! ,, ° ,$ '•,+ ^� 4�f;• 'f'
<br /> t a} �, t, r t k x`":t S t' 'i,,. �s:try �a - r r y v.: f r� ✓ r�.. .e "' ,r1' f' � .�' K;.
<br /> f 3,t n $- A�.a t, r A',..r• ,rs'Nt a� tA''i r �•4,l�} ?�b',� t S z u .1�( 4 : ` �Ak 4�'�' 4 A > �"
<br /> h �. `" �. 'Y.r � r .a}..o. ..�c�G,.:•i;F A.,�,� .t��+.Ve3♦ iz�. '+"w.,:ea^.�..''-tt+${�,,5''45� + x.. .,9+vi.T i i'�:.`� t3+^)�,.. � � .a t r 1 ,C,rte' !•'
<br />
|