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✓ `� SAN JOA(111IN COUNTY PUBLIC HEALTH SEpVICES 304 E.WEBER AYE,,1*f fRD FLOOR • STOCKTON,CA 95202 • PHt,d(209)468-3420 KAREN FURST, M.D., M.P.H., HEALTH OFFICER DONNA HERRN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION ENVIRONMENTAL HEALTH COPYSAN JOAQUIN COUNTY CERTIFIED UNI FI ED PROGRAM AGENCY PERMIT TO OPERATE crmu r0gram crmu pro ram Code and Description Valid lD Number @ P PROS1400 PT0010198 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 111/00 To 12131100 Hazardous Waste Generator Program: California Health and Safety Code Div.20,Chap.6.5,Art.2-13 Sec.25100 el see,and Title 22 California Code of Regulations,Chap. 20. PR023103 2300-UNDERGROUND STORAGE TANK FACILITY 111100 To 12131/00 Underground Storage Tank Program: California Health and Safety Code Div.20,Chap.6.7 and Title 23 California Code of Regulations Chap. 16. iankp I InK Kccoruerne .apace y Perlint Status Active BOE IDW 44-024500 - - Undergrounif Storage Tank Permit Conditions 1) Ilse 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 Perm it Conditions. 2) In onlcrto maintain die operating permit,the permit Iwldcrshall cmnply 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 estaMishcd by San Joaquin County. 3) I fdw Tank Operalor(s)is di0crcal fmm the Tank Owner,or if the Penn it to Opemle is issued Ina person other than the owner or operator ofthe 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 must M approved by the Environmental Health Division(PIIS/EHD)and arc considererd UST Permit Condniore. Copies of the Procedures and Emergency Response Plan must be attached to this permit or be available for review and/or inspection 5) jth$IIST site. Ine ermrttce shall comply with the monitoring procedures rcferrenced in this permit. 6) The Permittee shall perform testing and preventive maintenance on all Ieak detection monitoring equipment annually,or more frequently if specified by the equipment manu facimer,and provide documentation of such servicing to this office. ice. 7) In the event of a spill,leak,or other unauthorized release,the Pemnilce 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 PIIS/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 orthe UST system(including change in lank contents or wage),the Permit to Operate will be subject to review,modification or revocation. H) Construction,repair and/or removal permits are required front the PIIS1171ID 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,Slate 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 111115T BF,/DISPLAYED CONS111010USIM ON TIIF.PREMISES Regulated Facility: ST JOSEPHS HOSPITAL Facility ID FA0003761 1800 N CALIFORNIA ST Account ID AR0003340 STOCKTON, CA 95204 Issued 10/10/2000 Billing Address: ATTN : ACCOUNTS PAYABLE ST JOSEPHS HOSPITAL PO BOX 213008 STOCKTON, CA 95213-9008 7023.rpt