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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTNIEN-T
<br />304 E. Weber Ave., Third Floor • Stockton, CA 95202-2708 a Phone (209) 468-3420
<br />Donna Heran, RE-H.S., Director
<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 />PRO521557 PT0014545 2220 - SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY
<br />Hazardous Waste Generator Program:
<br />In order to maintain the permit to operate, Hanrdous Waste Generators shall comply with California Health and Safety Code, Div
<br />Sec. 25100 et seq, and Title 22, Califomia Code of Regulations, Chap. 20:
<br />PR0231482 2300 - UNDERGROUND STORAGE TANK FACILITY
<br />Underground Storage Tank Program:
<br />California Health and Safety Code, Div, 20, Ci ap. 6.7 and Title 23, Califomia Code of Regulations, Chap. 16.
<br />------------------------------ --------------------------- ------- ------ - -
<br />1!1/ZUU4 10 l L/3'1/LUU4
<br />20, Chap. 6.5, Art. 2-13,
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<br />1/1/2004 To 12/31/2004
<br />2360 6 390002314820504846 PT0007198 2,632 DIESEL Active, billable DOUBLE WALLED Continuous Interstitial Monitoring
<br />2360 5 390002314820504845 PT -007197 6,768 REGULAR UNLEADED Active, billable DOUBLE WALLED Continuous Interstitial Monitoring
<br />2362 4 390002314820504844 PT�-007196 2,632 PREMIUM UNLEADED Active, billable DOUBLE_ WALLED Continuous Interstitial Monitoring
<br />Underground Storage Tank Permit Conditions
<br />1) The Permit to Operate will become void if Annua: ?_rmit 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 emmner z d operator shall comply with the HSS Cede. Div. 20, Chap. 6.7 and 6.75: and CCR, Title 23. C1= 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 0%%ner, or i f the Permit to Operate is issued to a person other than the owner or operator of the ta--k- the Permittee shall ensure that both
<br />the Tank Owner and tank Operator receime a cop_ _-.'the permit.
<br />4) written Monitoring Procedures and an Emereenc, Rt -sponse Plan must be approved by the En.ironmental Health Department (EHD) and are considererd CST Permit Conditions. The approved
<br />monitoring, response, and plot plans shall be mainta_ed onsite with the permit.
<br />5) The Permittee shall comply with the monitoring prc+tlures referenced in this permit
<br />6) The Permittee shall perform testing and preventn a -maintenance on all leak detection monitoring equipment annually, or more frequently if specitie--4 by the equipment manufacturer, and
<br />provide documentation of such servicing to this o=ce.
<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 "e approved Emergency Response Plan.
<br />8) Written records of al l monitoring performed shall '-e maintained on-site by the operator and be available for inspection for a period of at least three y tars from the date the monitoring was
<br />performed.
<br />9) The EHD shall be notified of any change in owners= or operation of the UST system within 30 days of such change.
<br />10) Upon any change in equipment, design or operanc-: of the UST system (including change in tank contents or usage), the Permit to Operate will be subject to review, modification or
<br />11) Lit RCtit6t41bn, repair and/or removal permits are req.—ed from the EHD prior to any change, repair or removal of UST system equipment.
<br />12) The Permittee shall submit an annual report docune=cog compliance with the UST Permit Conditions within 30 days of the date of the issuance of this per: rit
<br />13) This Permit to Operate shall not be considered pe -mission to violate any laws, ordinances or statutes of any other Federal, State or Local agency.
<br />14) A "Conditional" Permit may be revoked if corre:czons specified on the inspection report are not completed by the date(s) indicated.
<br />PERMITS TO OPERATE are NOT TRANSFERABLE
<br />and may be SUSPENDED or REVOKED for cause.
<br />PERMIT(s) Valid only for: MADSEN, ROBERT & GAKUL
<br />DBA: MADSEN'S SUNRISE DAIRY
<br />THiS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br />Regulated Facility: MADSEN'S SUNRISE DAIRY Facility ID FA0000720
<br />239 S STOCKTON ST Actxwnt ID AR0000719
<br />RIPON, CA 95366 Issued 4/1/2004
<br />Billing Address:
<br />MADSEN'S SUNR=SE DAIRY
<br />239 S STOCKTON ST
<br />RIPON, CA 953 6
<br />7023 rpt
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