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SAN JOAQAOUNTY ENVIRONMENTAL HEAL&EPARTMENT �
<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 /> Permit
<br /> Program PermitValid
<br /> Record ID - Number—�__Pogram Code and Description
<br /> PR0517875 PT0011746 2220,,-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2011 To 1213112011
<br /> Hazardous Waste Generator PfogiAnn:
<br /> ermlt 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, --___--_-__-_--------_-------------_-_--_.----. - - -------:----------------
<br /> PR0518624 2300-UNDERGROUND STORAGE TANK FACILITY 111/2011 To 12/3112011
<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 /> -- --------- -------- ------------- -- ry -
<br /> P/E Tank# Tank Record Ip Permit# Ca aci Contents Perm-[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 /> moms
<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 systems)fails to remain in compliance with these Permit Conditions.
<br /> 2) In order to maintainthe 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 /> 3) If the Tank Operators)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 must be approved by the Environmental Health Department(EHD)and are considererd UST Permit Conditions. The approved
<br /> monitoring,response,and plot plans shall be maintained onsite with the pennit
<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 Pennine shall comply with the requirements of Title 23 CCR,Chap.16,Art.5,and the approved Emergency Response Plan.
<br /> g) Written records of all monitoring performed shall be maintained on-site by the operator and he 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) Commander,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment.
<br /> 12) The Pemriree shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the date of the issuance of Ins permit.
<br /> 13) 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 /> 14) A"Conditional'Permit may be revoked if corrections specified on the inspection report are not completed by the dates) indicated.
<br /> --- --------------------..----------------------------I-----------------._------:----'-------'---------------------------------------------------_-----------_-----._-_------
<br /> PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s)Valid only for: COSTCO WHOLESALE CORPORATION
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> COSTCO WHOLESALE #38 Facility ID FA0001705
<br /> Regulated Facility: 1616 E HAMMER LN Account ID AR0001704
<br /> STOCKTON CA 95210 Issued 31112011
<br /> Billing Address: ATTN : LICENSING
<br /> COSTCO WHOLESALE #38
<br /> PO BOX 35005
<br /> SEATTLE WA 98124-3405 . -
<br /> 7023.rpt
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