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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.Weber Avc.,Third Floor•Stockton,CA 95202-2708•Phone(209)4(8.3420 <br /> Donna Heran,R.EH.S.,Ducdor <br /> SAN JOAQjV VIIN RONMEN n�FIED Pi 1 RpGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Permit <br /> Valid <br /> Program Permit <br /> Record ID Number Program Code and Description 1/1/2004 To 12131/2004 <br /> PR0521946 PT0014840 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY <br /> Hazardous 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 et Be and Title 22,Calitomia Code of Re ulations_,Chap._____--.- <br /> --_.-. _ _ <br /> - 11112004 To 1213112004 <br /> PR051518288 2300-UNDERGROUND STORAGE TANK FACILITY <br /> Underground Storage Tank Program: <br /> California Health and Safely Cone,Div_20,Chap.6.7 and TIOe 23,Califomia Code of Reputations,.Chap_16----------------------------------------_---------------_--- <br /> P/E Tank# Tank Record ID Permit# Capacity Contents 1 mint Status System Type Leak Detection <br /> PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> 2360 3 390005182880515629 PT0011950 20,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> 2360 2 390005182880515628 PT0011949 20,000 DOUBLE WALLED Continuous Interstitial Monitoring <br /> 2362 1 390005182880515627 PT0011948 20,000 REGULAR UNLEADED Active,billable <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.Crisp-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) 1f 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 P m nitme 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 Heim Depamrcnt(EHD)and are considererd UST Permit Conditions. The approved <br /> monitoring,response,and plot plans shall be maintained onsite with the permit. <br /> 5) The Pemrittee shall comply with the monitoring procedures referenced in this permit. <br /> 6) The Penmttee 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 Tide 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 /> 11) Cdi84181416n,repair and/or removal pemdts are required from the EHD prior W any change,repair or removal of UST system equipment <br /> 12) The Permittee shall submit an annual report documenting compliance with the UST Permit Conditions with.ri days of the date of the issuance of thispemut <br /> 13) This Permit to Operate shall not be considered permission to violate any laws,ordinances or statutes of any other Federal,Sum or Local agency. <br /> 14) A"Conditional"Permit maybe revoked if corrections specified on the inspection report amnot complradby the dam(s) indicated <br /> PERMITS TO OPERATE we NOT TRANSFERABLE <br /> and 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 /> Regulated Facility COSTCO GASOLINE FAC#658 Facility ID FA0013810 <br /> 3250 W GRANT LINE RD Account ID AR0023237 <br /> TRACY, CA 95377 Issued 4/1/2004 <br /> Billing Address: <br /> COSTCO GASOLINE FAC #658 <br /> 999 LAKE DR <br /> ISSAQUAH, WA 98027 <br /> 7023.rpt <br />