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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 1D Number Program Code and Description Valid
<br /> PRO521946 PT0014840 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 111/2008 To 12/3112008
<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 s__ pdji#1e.22,California Code of Regulations,Chap_20,................
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<br /> PRO511288 2300--U DERGROUND STORAGE TANK FACILITY 1/1/2008 To 1213112008
<br /> Underground Storage Tank Progr
<br /> California Health and Safety Code,Div_20, Chap.6.7 and Title 23, California Code of Regulations, Chap_ 16_
<br /> - _ ...... ------------------------------------------------ ----------------- --- -------- - - - ---- -
<br /> P1H Tank 4 Tank Record II) Permit# Capacity Contents Permit Status System Type Teak Detection
<br /> 2362 1 390005162880515627 PT0011948 20,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 2 390005182880515628 PT0011949 20,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 3 390005182880515629 PT0011950 20,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> BOE ID#: 44-039100
<br /> Underground Storage Tank Permit Conditions
<br /> 1) The Permit to Operate will become void it'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 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 must be approved by the Environmental Health Department(EHD)and are considererd UST Perrot 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 Permitec 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 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 no6fted 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 ofthe UST system(including change in tank contents or usage),the Permit to Operate will he 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) 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 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 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: COSTCO WHOLESALE CORPORATION
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility. COSTCO GASOLINE FAC #658 Facility Il) FA0013810
<br /> 3250 W GRANT LIME RD Account ID AR0023237
<br /> TRACY CA 95377 Issued 311212008
<br /> Billing Address ATTN : LICENSTNG
<br /> COSTCO GASOLINE FAC #658
<br /> 999 LAKE DR
<br /> ISSAQUAH WA 98027
<br /> 7078 rpt
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