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• " ` • SAN JOAQUIN COUNTY ENVIRONMENTAL HFA1XH DEPARTMENT 304 E.Weber Ave.,Third Floor•Stocknon,CA 95202-2708•Phone(209)468-3420 Donna Heran,RE.H.S.,Director ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Program Permit Permit Record m Numbe Prcgm Code and Description .Valid PRO513679 PT0009 A 2220-'SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2007 To 12/31/2007 Hazardous Waste Gene ator Prograrm ' In order to maintain the nnit to o erate,Hazardous Waste Generators shall comply with California Health and Safety Code,Div.20,Chap.6.5,Art.2-13, Sec.25100 et seen and Ti 22 alifornia Coded Regulations,Chap_20, _ --------------- -------------------- - - ---------------------------------------------------------------------------- PR0231736 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2007 To 12131/2007 Underground Storage Tank Program California Health and Safe Code,Div.20,Chap.6.7 and Title 23,California Code of Regulations,Chap, 16_ _ -- ry - - - ---- — -- -- PfE Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection 2362 4 390002317360173604 PT0004758 10,000 DIESEL Active,billable DOUBLE WALLED Continuous Interstitial Monitcong BOE.ID#. 44-02,4847.. 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 theH&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 Operatods)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 considercid UST Permit Conditions. The approved monitoring,response,and plot plans shall be maintained onsite with the permit. 5) The Pennines shall comply with the monitoring procedures referenced in this permit. 6) The Permit cc 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 to this office. 7) In the event of spill,leak,or other unauthorized release,the Permit"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 bemaintained 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 of usage),the Permit to Operate will be subject to review,modification or revocation. 11) Construction,repair and/or removal permits are required from the EHD prior to my change,repair or removal of UST system equipment. 12) The Permigee.shall submit an=us]report documenting compliance with the UST Permit Conditions within 30 days of the 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 am not completed by the datc(s) indicated. PERMITS TO OPERATE are NOT TRANSFERABLE - and may be SUSPENDED or REVOKED for cause. PERMIT(s)Valid only for: SUTTER TRACY COMMUNITY HOSP DBA: SUTTER TRACY COMMUNITY HOSPITA Tank Owner: TRACY COMMUNITY MEMORIAL HOSP THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES Regulated Facility: SUTTER TRACY COMMUNITYHOSP Facility ID. FA0002562 1420 N TRACY BLVD Account ID AR0002387 TRACY CA 95376 Issued 2/13/2007 Billing Address: SUTTER TRACY COMMUNITY HOSP 1420 N TRACY BLVD TRACY CA 95376-3497 - 7023.rpt