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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E. Hazelton Ave. • Stockton, CA 95205-6232 • Phone(209)468-3420 <br /> Donna Heran,R.E.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 /> _ _. 220-SM&TE-GEWEItAi913-FACtL- -- <br /> azar ou aste Genera r Pro m: <br /> In order to maintain the pe(* operate,Hazardous Waste Generators shall comply with California Health and Safety Code,Div.20,Chap.6.5,Art.2-13, <br /> Sec.25100 et sag,and Title 22,California Code of Regulations,Chap.20: <br /> ----- .. . ........ ------------------------ --------...-------...--------:. <br /> PRO518624 2300-UNDERGROUND STORAGE TANK FACILITY 111/2013 To 12131/2013 <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: <br /> -- _.... — - ----- ------------ <br /> -- --- ---'— — — <br /> P/E Tank 4 Tank Record ID Peri CapacityContents Permit Status System Type Leak Detection <br /> 77 <br /> 2372 1 390005186240515648 PT0012148 20,000 REGULAR UNLEADED Active,billable DOUBLE-WALL Continuous Interstitial Monitoring <br /> 2370 2 390005186240515649 PT0012149 20,000 REGULAR UNLEADED Active,billable DOUBLE-WALL Cominuous Interstitial Monitoring <br /> 2370 3 390005186240515650 PT0012150 20,000 PREMIUM UNLEADED Active,billable DOUBLE-WALL Continuous Interstitial Monitoring <br /> BOE ID#: 44039100 <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 I S.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 iflhe 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 considered UST PermitConditions. 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 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 /> 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. <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 may be revoked if corrections specified on the inspection report are not completed by the ciate(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 /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> COSTCO WHOLESALE#38 Facility ID FA0001705 <br /> Regulated Facility: Account ID <br /> 1616 E HAMMER LN AR0001704 <br /> STOCKTON CA 95210 Issued 2/19/2013 <br /> Billing Address: ATTN : LICENSING <br /> COSTCO WHOLESALE #38 <br /> PO BOX 35005 <br /> . SEATTLE WA 98124-3405 <br /> 7023 rpt <br />