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A NJO A QU I Environmental Health Department <br /> ill j N i y Jasjit Kang, REHS, Director <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> This permit is valid for Permit Status identified as "IN COMPLIANCE" <br /> Program <br /> Record ID Program Code and Description <br /> PR0231736 2300-UNDERGROUND STORAGE TANK FACILITY <br /> Underground Storage Tank Program: <br /> California Health and Safety Code,Div.20,Chap.6.7 and Title 23,California Code of Regulations,Chap.16. <br /> P/E Tank# CERS Tank ID Permit# Capacity Contents Permit Status System Type Leak Detection Permit Valid <br /> 2360 4 10397599-001 PT0004758 10,000 DIESEL IN COMPLIANCE DOUBLE-WALL Continuous Monitoring 1/1/2023 To 12/31/2023 <br /> �ID#: 44052335_ <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 California Code of Regulations(CCR)Title 23,sections 2610-2717.7;and California Health&Safety <br /> Code,sections 25280-25296 and 25298-25299.6. <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 Permitee shall comply with the requirements of Title 23 CCR,Chap.16,Art.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 thirty-six(36)months from the date the <br /> monitoring was 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) The UST owner or operator shall notify the EHD at least 30 days before changing the substance currently stored in the underground storage tank. <br /> 11) 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 /> 12) Construction,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment. <br /> 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. <br /> ..................... <br /> PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: SUTTER VALLEY HOSPITALS <br /> DBA: SUTTER TRACY COMMUNITY HOSPITAL <br /> Tank Owner: SUTTER TRACY COMMUNITY HOSPITAL <br /> CERS ID 10397599 <br /> Regulated Facility: SUTTER VALLEY HOSPITALS DBA SUTTER TRACY COMI Facility ID FA0002562 <br /> 1420 N TRACY BLVD Account ID AR0002387 <br /> TRACY CA 95376 Issued 1/24/2023 <br /> Billing Address: SUTTER TRACY COMMUNITY HOSPITAL <br /> JASON SIMMONS <br /> 1420 N TRACY BLVD <br /> TRACY CA 95376 <br /> 7124.rpt <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209-468-3420 1 F 209464-0138 1 www.sjgov.org/EHD <br />