SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 600 E. Main St. • Stockton, CA 95202-3029 • 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
<br /> Valid
<br /> PR0517875 PT0011746 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2012 To 12/3112012
<br /> ')-lazardouS 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 at seq,and Title 22r.California Code of Regulations,Chap:20, _ ___
<br /> --' --- ------- - -------------------------' --- ---------
<br /> PRO5186$4 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2012 To 1213112012
<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 /> ___-. . ._._. ._.__ - _ _...__-__ --- ...___ - .__.__ ------------------------------ __PIE Tank# Tank Record ID Permit# Capacity Contents .Permit Status System Type Leak Detection
<br /> 2372 1 390005186240515648 PT0012148 20,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2370 2 390005186240515649 PT0012149 20,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2370 3 390005186240515650 PT0012150 20,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> Underground Storage Tank Permit Conditions
<br /> 1) The Permit to Operate will became void if Annual Permit Fees and Service Fees are not paid andlor 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 w 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 most be approved by the Environmental Health Department(EHD)and are considererd UST Permit Conditions. The approved
<br /> monitoring,response;and plot plans shall he maintained onsite with the permit.
<br /> 5) The Petminee 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 morefrequently 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,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 dime 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 m review,modification or
<br /> revocation.
<br /> 1 I) 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 dates)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 /> Regulated Facility: COSTCO WHOLESALE#38 Facility ID FA0001705
<br /> 1616 E HAMMER LN Account ID AR0001704
<br /> STOCKTON CA 95210 Issued 2/10/2012
<br /> Billing Address: . ATTN LICENSING
<br /> COSTCO WHOLESALE #38
<br /> PO BOX 35005 -
<br /> SEATTLE WA 98124-3405
<br /> 7023.rat
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