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SAN JOAQUIN'1COUNTY ENVIRONMENTAL HEALTH-eiEPARTMENT
<br /> 1868 E. Hazelton Ave. H 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 PermitRecord ID Number Program Code and Description Valid
<br /> PRO514003 PT0010198 2247-RCRA HAZARDOUS WASTE GENERATOR FACILITY 11112014 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 at seq.and Title 22, California Code of Regulations,Chap.20, ---..________._._.
<br /> PR0231036 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2014.To 1 213112 01 4
<br /> I lndemround Storage Tank Prooram:
<br /> California Health and Safety Code,Div.20,Chap:6.7 and Title 23,California Code of Regulations,Chap. 16_ ___________________________
<br /> - - - - - - - - - - _ ---- ----- -------
<br /> P/E Iank# TankRecord Permit# Capacity Contents Permit Status System Type
<br /> 2362 3 390002310360103603 PT0004627 20,000 DIESEL Active,billable DOUBLE-wAL
<br /> BOE tDIF: 44024500 .
<br /> Underground Storage Tank Permit Conditions -
<br /> I) The Permit to Operate will become void if Annual Permit Fees and Service Fees arc 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 w any conditions
<br /> established by San Joaquin Cowry.
<br /> 3) If the Tank Opemtor(s)is different from the Tank Owner,or if the Permit to Opcmte 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,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 Permitee shall comply with the requirements of Title 23 CCR,Chap.16,Arc 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 to 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 19ws,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 arc not completed by the date(s) indicated.
<br /> 0528692 PT0021857 2832-13-OVEGROUND PETROLEUM STORAGE FACILITY _ 11112014 To 12131/2014
<br /> 52M der roleum Storage Prooram:
<br /> California Health and Safety Code,Division 20,Chapter 6.67 and Title 40 of the Code of Federal Regugulations ._----------- ______
<br /> Aboveground Storage Tank Permit Conditions - -
<br /> 1) In order to maintain the permit to operate,Aboveground Petroleum Storage owners and operators shall comply with California Health and Safety Code,Division 20,Chap.6.67,Sec 23270 et
<br /> seq,and Part 112(commencing with Section 112.1)of Title 40 of the Code of Federal Regulations.
<br /> PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s)Valid only for: ST JOSEPHS MEDICAL CENTER
<br /> THIS FORM MUST HE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> ST JOSEPHS HOSPITAL Facility ID FA0003761
<br /> Regulated Facility: 1800 N California St Account to AR0003340
<br /> STOCKTON CA 95204 issued 2121/2014
<br /> Billing Address: ATTN : CHW ACCTS PAYABLE (3RD FLR)
<br /> ST JOSEPHS HOSPITAL
<br /> 3400 DATA DR
<br /> RANCHO CORDOVA CA 95670
<br /> 7o2arpt
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