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SAN JOAQUTA COUNTY ENVIRONMENTAL HEALTH I iEPARTMENT
<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
<br />Record ID Number Program Code and Description Permit
<br />PRO517875 PT0011746 2220 - SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY Valid
<br />Hazardous Waste Generator Program 1/1/2012 To 12/31/2012
<br />In order to maintainthepermit to operate, Hazardous Waste Generators shall comply with California Health and Safety Code, Div. 20, Chap. 6.5, Art. 2-13,
<br />Sec_ 251.00 et geq, and Title_22, California Cpde of Regulations, Chap, 20, _
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<br />PR0518624 2300 - UNDERGROUND STORAGE TANK FACILITY - -----
<br />Underground Storage Tank Proararr>_ 111/2012 To 1213112012.
<br />California Health a rid Safety Code, Div. 20, Chap. 6.7 and Title 23, California CodeofRegulations, Cha 16.
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<br />P!E TantrN T....L oe..,._a m --t--n-s .- _----------
<br />2370 2 390005186240515649 PT0012149 20,000 REGULAR UNLEADED n�uve, rnmarie wuoce WAµtU Continuous interstitial Mamtoring
<br />2370 3 390005186240515650 PT0012150 20,000 PREMIUM UNLEADED Active, billable DOUBLE WALLED Continuous Interstitial Monitoring
<br />Active, billable DOUBLE WALLED Continuous Interstitial Monitoring
<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 compliancewith 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 Operators) is different from the Tank Owner, or if the Permit to Operate is issued to a person other than the owner or operator ofthe 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 (Ii and are considererd UST Permit 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 shal 1, perform testing and preventive maintenance on all leak detection monitoring equipment annually, or morefrequently 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 Title 23 CCR, Chap. 16, AM 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 ofat least three years from the date the monitoring was
<br />performed.
<br />9) The EHD shah be notified of my 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) Com it uction, repair and/or removal permits are required from the EHD prior to goy 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 ofany other Federal, State or Local agency. -
<br />13) 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 may be SUSPENDED or REVOKED for cause.
<br />PERMIT(s) Valid only for: COSTCO WHOLESALE CORPORATION
<br />DBA: COSTCO
<br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br />Regulated Facility: COSTCO WHOLESALE #38
<br />1616 E HAMMER LN
<br />STOCKTON CA 95210
<br />Billing Address: ATTN : 'LICENSING. -
<br />COSTCO WHOLESALE #38
<br />PO BOX 3500.5
<br />SEATTLE WA 98124-3405.
<br />Facility ID FA0001705
<br />Account ID AR0001704
<br />Issued 2/10/2012
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