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SAN JOAQULN 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 II) Number Program Code and Description Valid <br /> PR0516262 PT0011201 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2013 To 12/31/2013 <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 Title 22,California Code of Regulations,Chap.20. <br /> — ------------------------- --- -------------------------------------------------------------------------- ----------------------- <br /> PR0231614 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2013 To 12/31/2013 <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 /> - <br /> ---- ----- --------- --------- ------------ ------ --------- ------------ ---------------- ---------- ------- <br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection <br /> 2362 6 390002316140505419 PT0007988 10,000 DIESEL Active, billable DOUBLE-WALL Continuous Interstitial Monitoring <br /> BOE ID#: 44024562 <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 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 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 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 <br /> revocation. s <br /> 1 I) Construction,repair and-or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment. ` x <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 maybe revoked if corrections specified on the inspection report are not completed by the date(s) indicated. b ' <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 AR0000085 <br /> FRENCH CAMP CA 95231 Issued 2/19/2013 <br /> Billing Address: ATTN : MARTINEZ, PAUL— HSKP <br /> SJ GENERAL HOSPITAL <br /> PO BOX 1499 <br /> FRENCH CAMP CA 95231 <br /> 7023.rpt <br />