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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 304 E.Weber Ave.,Third Floor•Stockton,CA 95202-2708 a Phone(209) 468-3420 Dona Heran,R.E.H.S.,Director ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Program Permit Permit Record ID Number Program Code and Description Valid PRO51400 PT0010198 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2002 To 12/31/2002 Hazardous Waste Generator Program: Califomia Health and Safety Code Div.20:Chap_6.5,Art.2-13 Sec_25100 et seq,and Title 22 California Code of Rtsgula8ons,Chap_20. __ PR023103 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2002 To 12/3112002 Underground Storage Tank Program: California Healthand Safety Code.Div.20,Chap.6.7 and Title 23 California Code of Regulations Chap.16._ _______ ".. --- P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type 2362 3 390002310360103603 PT0004627 20,000 REGULAR UNLEADED Active,billable DOUBLE WALLED continuous Interstitial BO_EIQ�::.:44-02450Q,;�" 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 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 the Tank Owner and tank Operator receive a copy of the permit. 4) Written Monitoring Procedures and an Emergency Response Plan most be approved by the Environmental Health Department(EHD)and are comidererd UST Permit Conditions. The approved monitoring,response,and plot plans shall be maintained onsite with the permiL 5) The Permittee shall comply with the monitoring procedures referenced in this permit 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 provide documentation of such servicing on this office. 7) In the event of a spill,leak,or other unauthorized release,the Perrnitee 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 berate will be subject an review,modification or revocation. 11) Construction,repair and/or removal pests 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 anniversary 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 may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated. PERMITS TO OPERATE are NOT TRANSFERABLE and may be SUSPENDED or REVOKED for cause. PERMIT(s)Valid only for: ST JOSEPHS MEDICAL CENTER CORP THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES Regulated Facility: ST JOSEPHS HOSPITAL Facility ID FA0003761 1800 N CALIFORNIA ST Account ID AR0003340 STOCKTON. CA 95204 Issued 3/29/2002 Billing Address: ATTN : ACCOUNTS PAYABLE ST JOSEPHS HOSPITAL PO BOX 213008 STOCKTON, CA 95213-9008 702a rpt