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<br /> SAN JOAQUIN-COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 1868 E.Hazelton Ave. • Stockton,CA 95295-6232 Phone(209)468-3421 Nl
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<br /> Donna Heran,R.E.H.S.,Director
<br /> ENVIRONMENTAL HEALTH
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<br /> mp,�� 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 /> PRO131333 PT0012255 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2014 To 12/31/2014
<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.25100 et seq,and Title 22,California Code of Regulations,Chap_20. R
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<br /> PR0535432 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2014 To 12/31/2014
<br /> Underground Storage Tank Program: °
<br /> California Health and Safety Code,Div.20,Chap.6.7 and Title 23,California Code of Regulations,Chap. 16.
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<br /> P Tank# Tank Recor ID Permit# Capacity ontents Permit latus System Type Lea Detection
<br /> i 2352 1 390005354320519781 PT0021696 30,000 REGULAR UNLEADED ACTIVE,BILLABLE DOUBLE-WALL Continuous Monitoring
<br /> r, 2350 2 390005354320519782 PT0021697 30,000 REGULAR UNLEADED ACTIVE,BILLABLE DOUBLE-WALL Continuous Monitoring
<br /> +, 2350 3 390005354320519783 PT0021695 30,000 PREMIUM UNLEADED ACTIVE,BILLABLE DOUBLE-WALL Continuous Monitoring
<br /> 2350 4 390005354320520508 PT0022862 .1,500 OTHER ACTIVE,BILLABLE o
<br /> P DOUBLE-WALL GonUnuouBMonitorin
<br /> B_OE ID#:•;44039100yr
<br /> Underground Storage
<br />_ Tank Permit Conditions + "ay 9 3
<br /> y' 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 /> p ` _ 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 /> 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
<br /> 4 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 /> L", monitoring,response,and plot plans shall be maintained onsite with the permit.
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<br /> 5) The Permittee shall comply with the monitoring procedures referenced in this permit. �" 0"11,
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<br /> r; 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.
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<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 /> performed.
<br /> r x, 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,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. h } ,
<br /> r ' 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.
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<br /> ` 13) A"Conditional"Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated.
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<br /> PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause.
<br /> ., PERMIT(s)Valid only for: COSTCO WHOLESALE CORPORATION ,
<br /> Tank Owner: COSTCO WHOLESALE CORP
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<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> ;, �� t Facility ID FA0020431
<br /> COSTCO WHOLESALE#1091 i "
<br /> Regulated Facility:
<br /> Account ID AR0036486
<br /> 2680 REYNOLDS RANCH PKWY
<br /> { } a v Issued
<br /> LODI CA 96240 } k t ' ` 2/28/2014
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<br /> 9 ATTN DALE ANDERSON p `�
<br /> Address: * i ' »
<br /> COSTCO WHOLESALE #1091 amaxO�J
<br /> 1 x` 999 LAKE DRIVE ''
<br /> Issaquah WA 98027
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