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SAN JOAQVKCOUNTY ENvrRONMENTAL HEAL17DEPARTMENT <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 ID Number Program Code and Description <br /> Valid <br /> PRO514003 PT0010198 2247-RCRA HAZARDOUS WASTE GENERATOR FACILITY 1/1/2012 To 12131/2012 <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 seq,and Title 22,California Code of Regulations,Chap.20, -- _ <br /> -- -- ------ ' ------- --- --- <br /> PR0231036 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2012 To 1 2/3112 01 2 <br /> Underground Storage Tank Program: <br /> California Health and Safety Code,Div.20,Chap.6.7 and Title 23,California Code of Regulations,Chap. 16, _ _ ....... <br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection <br /> 2362 3 390002310360103603 PT0004627 20,000 DIESEL Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> BOE ID#: 44024500 <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 most 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 Pernime shall comply with the requirements of Title 23 CCR,Chap. 16,An.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 me 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 may be revoked if corections specified on the inspection report we not completed by the date(s) indicated <br /> PRO528692 PT0021857 2832-ABOVEGROUND PETROLEUM STORAGE FACILITY 1/1/2012 To 12/31/2012 <br /> Aboveground Petroleum Storage Program <br /> California Health and Safety Code, Division 20,Chapter 6;67 and Title 40 of the:Code of Federal Regugulations. <br /> --- --------- -- ----- - - ------- ----------- -- -- — — --------------- - ----- <br /> Aboveground Storage Storage Tank Permit Conditions <br /> 1) In order to maintain the permit to operate,Abovegromtd Petroleum Storage owners and operators shall comply with California Health and Safety Code,Division 20,Chap.6.67,Sec 25270 et seq. <br /> and Pan 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 BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: ST JOSEPHS HOSPITAL Facility ID FA0003761 <br /> 1800 N CALIFORNIA ST Account ID AR0003340 <br /> STOCKTON CA 95204 Issued 2/10/2012 <br /> Billing Address: ATTN : CHW ACCTS PAYABLE (3RD FLR) <br /> ST JOSEPHS HOSPITAL <br /> 3400 DATA DR <br /> RANCHO CORDOVA CA 95670 <br /> 7023.rpt <br />