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SAN JOAQUWCOUNTY ENWRONMENTAL HEALTA DEPARTMENT
<br /> 600 E.Main St.• Stockton,CA 95202-3029 • Phone(209)468-3420
<br /> Donna Heron,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 Valid
<br /> PROS14003 PT0010198 2247-RCRA HAZARDOUS WASTE GENERATOR FACILITY 1/112012 To 12/31/2012
<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, _
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<br /> PR0231036 2300-UNDERGROUND STORAGE TANK FACILITY 111/2012 To 1213112012
<br /> Underground Storage Tank Program,
<br /> California Health and Safety Code, Div.20,Chap.67 and Title 23,California Code of Regulations,Chap. 16. _
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<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 menitomg
<br /> BOE ID#:'44024500 d
<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 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 Res 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 of the tank,the Perminee shall ensure that both
<br /> the Tank Owner and tank Operator receive a copy of the permit.
<br /> 4) Wdren 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 die permit.
<br /> 5) The Permiree shad 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 Pennitee 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 are required from the RHD 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 corrections specified on the inspection report are not completed by the dates) indicated.
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<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.
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<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 25270 et seq,
<br /> and Part 112(commencing wide 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.mt
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