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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH EPARTMENT
<br /> 304 E.Weber Ave.,Third Floor•Stodmon,CA 95202-2708• Phone(209)468-3420
<br /> Donna Heran,REH.S.,Director
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> Program Permit PERMIT TO OPERATE
<br /> Record ID Number Program Cade and Description Permit
<br /> PR0518100 PT0011044 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY valid
<br /> Hazardous Waste Generator Program, 1/1/2005 To 12131/2005
<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 at Req, Code of
<br /> and Title 22,California Regulations: ap.20_
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<br /> PR0231470 2300-UNDERGROUND STORAGE TANK FACILITY """--""""--""---"
<br /> Underground Storage Tank Program, 1/1/2005 To 12/31/2005
<br /> Califomia Health and Safety Code.Div_20,Chap_6.7 and Title 23,California Code of Regulations,Chap_16_
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<br /> P/E T # Tank Recor ID Permit Ca act -. __ ___._ ___..___.___.____
<br /> P tY Contents Permit Sixtus System Leak Detection
<br /> 2362 2 390002314700147002 PT0005501 10,000 DIESEL Active,billable DOUBLE WALLED Continuous imennna,monitoring
<br /> 2360 3 390002314700147003 PT0005502 6,000 REGULAR UNLEADED Active,billable DOUBLE WALLED continuous Interstitial m ftonng
<br /> 2360 4 390002314 1 700506341 PT0008782 4,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED cominuoua Interstitial monitorm;
<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 my conditions
<br /> established by Sm 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 most be approved by the Environmental Health Department(ED)and are considererd UST Permit Conditions. The approved
<br /> monitoring,response,and plot plans shall be maintained onsite with the permit.
<br /> 5) The Permittee 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 Penance shall comply with the requirements of Title 23 CCR,Chap.16,An.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 /> 9) The E-ID shall be notified of my change in ownership or operation of the UST system within 30 days of such change.
<br /> 10) Upon my 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 my change,repair or removal of UST system equipment.
<br /> 12) The Permittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the date of the issuance of this permit.
<br /> 13) This Permit to Operate shall not be considered permission to violate my laws,ordinances or statutes of my other Federal,State or Local agency.
<br /> 14) A"Conditional"Permit may be revoked if corrections specified on the inspection report an: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: VAN DE POL ENTERPRISES
<br /> Tank Owner: VAN DE POL ENTERPRISES INC
<br /> THLS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facany VAN DE POL ENTERPRISES INC Facility ID FA0003911
<br /> 816 E FRONTAGE RD Account ID AR0003501
<br /> RIPON CA 95366 Issued 4/29/2005
<br /> Billing Address: ATTN : TOM VAN DE POL
<br /> VAN DE POL ENTERPRISES
<br /> PO BOX 1107
<br /> STOCKTON CA 95201
<br /> 7023.Ipt
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