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SAN JOAQUIN COUNTY ENVIRONMENTAL I IEALT14 DEPARTMENT <br /> 304 E.Weber Ave.,Third Floor• Stockton,CA 95202-2708• Phone(209)468-3420 <br /> Donna Heran,R.E.H.S., Director <br /> SAN 39A]l1 1NCER'I IFIE Q It VI-ACENCY <br /> PERMIT TO OPERATE <br /> Program Permit Permit <br /> Record ID Number Program Code and Description Valid <br /> PRO513679 PT0009374 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2005 To 12/31/2005 <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 se and Title 22 California Code of Regulations,Chap.20_ <br /> --- �230O� <br /> - -------------- --- ------- -------- ----------- ---- -------- -------------------- <br /> PR0231 36 DERGROUND STORAGE TANK FACILITY 1/1/2005 To 12/31/2005ergiou Storage Tank-P--r <br /> California Health and Safety Code,Div.20,Chap.6.7 and Title 23,California Code of Regulations,Chap_16. <br /> - - ------------------ ----------- ------- <br /> P/n Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection <br /> 2362 4 390002317360173604 PT0004758 10,000 DIESEL Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> Bye•I©#, &44 024847 <br /> CUnderground Storage Tank Permit Conditions <br /> r <br /> 1) The Permit to Operate will become void if Amoral 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 penuit,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 Pernitee 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 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 /> 1 1) Construction,repair and/or removal pennits are required from the ElTD prior to any change,repair or removal of UST system equipment. <br /> 12) The Permittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the date of the issuance of this permit. <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 /> 14) A"Conditional'Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated. <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid_only for: SUTTER TRACY COMMUNITY HOSP <br /> DBA: SUTTER TRACY COMMUNITY HOSPITA <br /> _ Tank Owner: TRACY COMMUNITY MEMORIAL. HOSP <br /> l THIS FORM\LUST RE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility. SUTTER TRACY COMMUNITY HOSP Facility ID FA0002562 <br /> 1420 N TRACY BLVD Account ID AR0002387 <br /> TRACY, CA 95376 Issued 2/10/2005 <br /> Billing Address: <br /> SUTTER TRACY COMMUNITY HOSP <br /> 1420 N TRACY BLVD <br /> TRACY, CA 95376-3497 <br /> 7023.rpt <br />