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SAN JOAQI OUN1Y 6TIRONMENTAL HEAL EPARTMENT 600 E. Main St. • Stockton, CA 95202-3029 • Phone (209) 468-3420 Donna Heran, R.E.H.S., Director ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Program Permit Program Code and Description Record ID Number Sr tion Permit p Valid PR0517875 PT0011746 2220 - SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/112011 To 1213112011 Hazardous Waste Generator Program - In order to maintain the permit to operate, Hazardous Waste Generators shall comply with California Health and Safety Code, Div. 20, Chap. 6.6, Art. 2.13, Sec, 25100 et§eqanc1 Tine i2, California Code of Reoulations_ Chan ?n UNDERGROUND STORAGE TANK FACILITY 1/1/2011 To 12131/2011 California Health and Safety Code, Div_ 20, Chap. 6.7 and Title 23, California Code of Regulations, Chap, 16,.__ _ ring 2370 2 390005186240515649 PT0012149 20,000 REGULAR UNLEADED Active, billable DOUBLE WALLED Continuous Interstitial Monitoring 2370 3 390005186240515650 PT0012150 20,000 PREMIUM UNLEADED Active, billable DOUBLE WALLED Continuous Interstitial Monitoring Underground Storage Tank Permit Conditions 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. 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 established by San Joaquin County. 3) If the Tank Opemtor(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 the Tank Owner and tank Operator receive a copy of the permit. 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 monitoring, response, and plot plans shall be maintained onsite with the permit 5) The Permittee shall comply with the monitoring procedures referenced in this permit. 6) The Perminee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually, or more frequently if specified by the equipment manufacturer, and provide documentation of such servicing in this office. 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. 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 performed. 9) The EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change. 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 revocation 11) Construction, repair and/or removal permits are required from the EHD prior to any change, repair or removal of UST system equipment. 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. 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. 14) A "Conditional' Permit maybe revoked if corrections specified on the inspection report are not completed by the date(s) indicated. ------------------------- PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause. PERMIT(s) Valid only for: COSTCO WHOLESALE CORPORATION THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES Regulated Facility: COSTCO WHOLESALE #38 Facility ID FA0001705 1616 E HAMMER LN Account ID AR0001704 STOCKTON CA 95210 Issued 3/1/2011 Billing Address: ATTN : LICENSING COSTCO WHOLESALE #38 PO BOX 35005 SEATTLE WA 98124-3405 7023rpt