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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT1 .
<br /> b:
<br /> 6Q0 E.Main St. • Stockton, CA 95202-3029 • Phone(209)468-3420
<br /> Donna Heran,R.E.H.S.,Director' '
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<br /> ENVIRONMENTAL HE"YH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY* .;.'
<br /> PERMIT TO OPERATE
<br /> _ Program Permit Permit c,..
<br /> Record ID Number Program Code and Description Valid
<br /> PRO513679 PT0009874 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR VACILITY 111!2012 To 1213112012
<br /> Hazardous Waste Generator Program: 3'
<br /> In order to maintain the permit to operate,Hazardous Waste Generators shall comply with Califq)t7ia Heal4h and Safety Code,Div.20,Chap 6.5,`AIt;2-13; -
<br /> ''Sec.25100 et seq and Title 22,California Code of Regulations,Chap.20,
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<br /> PR0231736 2300-UNDERGROUND STORAGE TANK FACILITY 1H/ Q1.k To 12/31/2012
<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 /> — -- ------- - — t ;
<br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Leak Detection
<br /> able Continuous Interstitial Monitoring
<br /> 2362 4 390002317360173604 PT0004758 10 000 DIESEL Active bell DOUBLE WAL
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<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 systerrt(sj,fails to remain in compltancb With these Permit Conditions. q
<br /> 3
<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,thaPettu*a, l 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 Pemtit Conditions. The approved
<br /> monitoring,response,and plot plans shall be maintained onsite with the permit.
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<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 three ygats 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 i'r
<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 /> 1,3) 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 may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s)Valid only for: MEMORIAL HOSPITALS ASSOCIATION
<br /> DBA: SUTTER TRACY COMMUNITY HOSPITA ey ;
<br /> `Tank Owner: TRACY COMMUNITY MEMORIAL HOS
<br /> P .'
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> SUTTER TRACY COMMUNITY HOSP t z,- x Facility to FA0002562
<br /> Regulated Facility
<br /> 1420 N TRACY BLVD + ,° r Account ID
<br /> AR0002387 `r �
<br /> } TRACY CA 95376 Issued
<br /> 7. x 2/10/2012 1 ,
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<br /> Bill' Address:Address.
<br /> 9 ATTN NICOSIA, KAREN
<br /> SUTTER TRACY COMMUNITY HOSP
<br /> ¢tty1�.; r:'
<br /> r3 Zr: 1.420 N TRACY BLVD d � �'r r ! , { i� v i i Y ' s , 5 , rk + sx
<br /> TRACY CA 95376-3497
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