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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 Valid
<br /> PRO516262 PT0011201 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2014 To 12/31/2014
<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_251,Q0_.et seg;anct Iitte22,Catifwnia Code of Regulations,Chap:20.
<br /> R0231614 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2014 To 12/31/2014
<br /> -4:4�rouncl,Storage Tzak-Program:
<br /> California Health and Safety Code,Div.20,Chap._6.7 and Title 23,California Code of Regulations,Chap_16.
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<br /> P/E Tank# Tan Record D Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2362 6 �390002316140505419 PT0007988 10,000 DIESEL ACTIVE,BILLABLE DOUBLE-WALL Continuous Monitoring
<br /> i
<br /> Underground Storage Tank Permit Conditions
<br /> l) 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 /> A
<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, a
<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 shalt be maintained onsite with the permit.
<br /> 5) The Permittee shall comply with the monitoring procedures referenced in this permit.
<br /> 6)' The Permittee shalt 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 /> S) 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 /> 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 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.
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<br /> PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s) Valid only for: SAN JOAQUIN CO HEALTH CARE
<br /> Tank Owner: S J GENERAL HOSPITAL
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> - SJ.GENERAL HOSPITAL Facility ID FA0000086
<br /> Regulated Facility: .,500 W HOSPITAL RD Account ID AR6000085
<br /> 'FRENCH CAMPA 95231= Issued 2/28/2014
<br /> BIIIins;IAda ATTN MARTINEZ, .PAUL-"HSKP
<br /> SJ GENERAL HOSPITAL,"
<br /> PO BOX 1499 .
<br /> FRENCH,CAM F:. CA 55231-
<br /> 7.023 rpt,
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