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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<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 /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit - permit
<br /> Record ID Number Program Code and Description
<br /> Valid
<br /> -.PR0344003 PT0010198 -2247-RL'AARp7ARDOUSWASTE-GENERATORTFAC_ILITV- -- - --- -- ------ 1/112013 To 1213112013-- --
<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 Title22 lifornia Code of Regulations,Chap.20,
<br /> PR0231036 2300- NDERGROUND STORAGE TANK FACILITY 1/112013 To 12/31/2013
<br /> Underground Storacle T k Pro ra
<br /> California Health and S ety e,Div.20,Chap.6.7 and Title 23,California Code of Regulations,Chap:16.
<br /> P/E Tank N Tank Record ID Permit N Capacity Contents Pennit Status System Type Leak De[ecuon
<br /> 2362 3 390002310360103603 PT0004627 20,000 DIESEL Active,billable DOUBLE-WALL Continuous Interstitial Monitoring
<br /> BOE ID#: 44024500
<br /> Underground Storage Tank Permit Conditions
<br /> I) The Permit to Operate will become void if Annual Permit Fees and Service Fees arc 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 remain,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 Operanor(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 Perminee 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 Perminee 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 unaulhoriud release,the Permitee 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 equipmen4 design or operation of the UST system(including change in took 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 EHD prior no 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 date(s) indicated.
<br /> --------------------------- __-....-----------__-----------------._..__""-----.._--------------------------_------------------_-------'-------------------
<br /> PRO528692 PT0021857 2832-ABOVEGROUND PETROLEUM STORAGE FACILITY 1/1/2013 To 1 213112 01 3
<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.
<br /> __.._....._____.._..... ._.-._-......__ -----------------------___--..._-------------- --- . .---__.______.---_..._...--.........--...--.-.._
<br /> Aboveground Storage Tank Permit Conditions
<br /> 1) 1n 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,See 25270 et real,
<br /> and Part 112(commencing with 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 /> ST JOSEPHS HOSPITAL Facility ID FA0003761
<br /> Regulated Facility 1800 N CALIFORNIA ST Account ID AR0003340
<br /> STOCKTON CA 95204 Issued 2/1 912 01 3
<br /> Billing Address: ATTN CHW ACCTS PAYABLE (3RD FLR)
<br /> ST JOSEPHS HOSPITAL
<br /> 3400 DATA DR
<br /> RANCHO CORDOVA CA 95670
<br /> 7023sm
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