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SAN JOAQUEI.COUNTY ENVIRONMENTAL HEALTB-hEPARTMENT <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 /> Permit <br /> Program PermitValid <br /> Record ID Number Program Code and Description <br /> PRO514003 PT0010198 2247-RCRA HAZARDOUS WASTE GENERATOR FACILITY 111/2014 To 12/31/2014 <br /> Hazardous Wa2ig 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-aycTand_TO�C-eF€er la Code of Regulations._Chap.20,__--___.._..............................................._.......__....___.__..._.----- _ -- <br /> pR0231036 23Da-U RGROUND STORAGE TANK FACILITY 1/112014 To 12/31/2014 <br /> 5e <br /> 1mmro i oraae Tank Program: <br /> California Health and Safety Code,Div.20,Chap.6.7 and Title 23,California Code of Regulations:Chap. 16: _.___._________________.__. _--- - __------.__._. <br /> an # 7-71 <br /> m Recordermrt Capacity ontents emit latus ysteLE ype <br /> 2362 3 390002310360103603 PT0004627 20,000 DIESEL Active,billable DOUBLE-WALL <br /> HOE ID#:;44024500 <br /> Underground Storage Tank Permit Conditions <br /> I) 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 incompliance with[hese 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,w 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 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 Pemtitee shall comply with the requirements of Title 23 CCR,Chap.16,Am 5,and the approved Emergency Response Plan. <br /> g) Wrinen 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 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 my other Federal.State or Local agency. <br /> 13) A"Conditional'Permit may be revoked if corrections specified on the inspection report arc not completed by the date(s) indicated. <br /> PRO528692 PT0021867 2832-ABOVEGROUND PETROLEUM STORAGE FACILITY 11112014 To 1 213112 01 4 <br /> Abovearound Petroleum Storaoe Proaram7 <br /> California Health and Safety Code,Division 20,Chapter 6.67 and Title 40 of the Code of Federal RegugiAtions. --------- <br /> -- <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 <br /> seq,and Par 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 Facirty ID FA0003761 <br /> Regulated Facility: 1800 N California St Account ID AR0003340 <br /> STOCKTON CA 95204 Issued 2/2112014 <br /> Billing Address: ATTN : CHW ACCTS PAYABLE (3RD FLR) <br /> ST JOSEPHS HOSPITAL <br /> 3400 DATA DR <br /> RANCHO CORDOVA CA 95670 <br /> 7023.rpt <br />