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.a <br /> SAN JOAQUIN OMY ENVIRONMENTAL HEALTAPARTMENT <br /> 1868 E.Hazelton Ave, • Stockton, CA 95205-6232 • Phone(209)468-3420 <br /> Donna Heran,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> ***DUPLICATE*** <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Program Permit Permit <br /> Reeerd49----Numbwr­�­p1c a^ Valid <br /> PROS13679 PT0009874 2247-RCRA HAZARDOUS WASTE GENERATOR FACILITY 1/1/2014 To 12/31/2014 <br /> H <br /> In order to mainta n e pVm0t-fi-oye u—Hazardous-Weste-Genersters-shall-comply-With-Califomla-Ke—alth and Safety Code,Div.20,Chap.6.5,Art.2-13, <br /> Sec.25100 et sec and Title 22:California Code of Regulations,Chap.20_ -__ __________________________„_,__-____. <br /> PR0231736 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2014 To 12/31/2014 <br /> Underground 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 -Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection <br /> 2362 4 390002317360173604 PT0004758 10,000 DIESEL ACTIVE,BILLABLE DOUBLE-WALL continuous Morltorine <br /> BOE ID#: 44024847. <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 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 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 Perming shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or mora 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,AM 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 /> 1 1) 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 laws,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 are not completed by the datc(s) indicated. . <br /> .................................................................................................................................................................................................. . <br /> PERMITS TO OPERATE maybe SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: MEMORIAL HOSPITALS ASSOCIATION <br /> DBA: SUTTER TRACY COMMUNITY HOSPITA <br /> Tank Owner: SUTTER TRACY COMMUNITY HOSPITAL <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> SUTTER TRACY COMMUNITY HOSP Facility to FA0002562 <br /> Regulated Facility: - <br /> 1420 N TRACY BLVD Account ID AR0002387 <br /> TRACY CA 95376 issued 1/28/2015 <br /> Billing Address: ATTN : EAVELA, DENISE <br /> SUTTER TRACY COMMUNITY HOSP <br /> PO BOX 619110 <br /> ROSEVILLE CA 95661 <br /> 7o2arpt <br />