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SAN JOAQUII� 4UNTY ENVIRONMENTAL HEALTIORPARTMENT
<br />1868 E. Hazelton Ave. • Stockton, CA 95205-6232 • 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 Valid
<br />PRO517875 PT0011746 2220 - SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/112014 To 12/31/2014
<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 22, California Code of Regulations, Chap, 20:
<br />----- -------- ' ------- ------ ----- ----- -------------------------------------- -----------------------------
<br />PR
<br />------ --------- PPR4 2300- E$GROUND STORAGE TANK FACILITY 1/1/2014 To 12/31/2014
<br />d-Storage-Tanl�-Prerw--�
<br />Div. 20, Chap. 6.7 and_Title 23, California Code of Regulations, Chap.16._ _
<br />---------------------------------------------- —-
<br />1 390005186240515648 PT0012148 20,000 REGULAR UNLEADED ACTIVE, BILLABLE DOUBLE-WALL Continuous Monitoring
<br />2370 2 390005186240515649 PT0012149 20,000 REGULAR UNLEADED ACTIVE, BILLABLE DOUBLE-WALL Continuous Monitoring
<br />2370 3 390005186240515650 PT0012150 20,000 PREMIUM UNLEADED ACTIVE, BILLABLE DOUBLE-WALL Continuous Monitoring
<br />2370 4 390005186240520530 PT0023027 1,500 OTHER ACTIVE, BILLABLE DOUBLE-WALL Continuous Monitoring
<br />BOE ID#: 44039100
<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 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 Permit Conditions. The approved
<br />monitoring, response, mrd 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 leek 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 Pennitee 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 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 />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) 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 maybe revoked if corrections specified on the inspection report are not completed by the date(s) indicated.
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<br />PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause.
<br />PERMIT(s) Valid only for: COSTCO WHOLESALE CORPORATION
<br />Tank Owner: COSTCO WHOLESALE CORP
<br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br />COSTCO WHOLESALE #38 FacilitylD FA0001705
<br />Regulated Facility: Account ID
<br />1616 E HAMMER LN AR0001704
<br />STOCKTON CA 95210 Issued 3/17/2014
<br />Billing Address: ATTN COSTCO WHOLESALE CORPORATION
<br />COSTCO WHOLESALE #38
<br />COSTCO WHOLESALE CORPORATION, RISK MGMT,
<br />999 LAKE
<br />Issaquah WA 98027
<br />7023.mt
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