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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 1-868 E.Hazelton Ave. • Stockton,CA 95245-62372 •Phone,(209)468-3420
<br /> Donna Heran,R.E.H.S.,Director
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit Permit
<br /> Record 1D Number Program Code and Description Valid
<br /> PR0536-q3&—__P3M29`7r19 999A S1110' ' QUANTITY WS-TE n NER, TGR FACILITY 0 KKR
<br /> •To 11.1901,3
<br /> azar ous Waste Generator .ro ra
<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.25100 et seq,and-Title 2 forma Code of Regulafions Chap 20 _ __-----
<br /> ----- --- ------ ---------- --
<br /> PRO535432
<br /> -------- --
<br /> PR0535432 2300 UNDERGROUND STORAGE TANK FACILITY 1/1/2013 To 12/31/2013
<br /> Un er`round Stora a Tan Pro r
<br /> California Health and Safety ode DIv.20 Chap.6.7 and Title 23_California Code of Regulations Chap_16.
<br /> ------------- ----- ----- - .
<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-WALL Continuous Interstitial Monitoring
<br /> 2350 2 390005354320519782 PT0021697 30,000 REGULAR UNLEADED Active,billable DOUBLE-WALL Continuous Interstitial Monitoring
<br /> 2350 3 390005354320519783 PT0021695 30,000 PREMIUM UNLEADED Active,billable DOUBLE-WALL Continuous Interstitial Monitoring
<br /> 2350 4 390005354320520508 PT0022862 1,500 OTHER Active,billable DOUBLE-WALL Continuous Interstitial 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 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 Pennittee'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 monil1wmg pre9F
<br /> 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,modification6r `-
<br /> revocation. r a
<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) 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 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 /> Tank Owner: COSTCO WHOLESALE
<br /> �k.
<br /> THIS,FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> COSTCO WHOLESALE#1091 Facility ID FA0020431
<br /> Regulated Facility: 26$0 REYNOLDS RANCH RD Account ID AR0036486
<br /> LODI CA 95241? Issued 3/13/2013 t`
<br /> Billing Address: ATTN LICENSING
<br /> COSTCO WHOLESALE #1091
<br /> PO BOX, 35005
<br /> SEATTLE WA 98124-3405 `
<br /> 7023.rpt
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