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<br /> SAN JOAQiJIN C{ V T �t AT I[I ?1' A ] DEPARTMENT
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<br /> 600 E. Main St.: tool ton,CA 952'2 3029'i1 Phbae(209,)46$-3420
<br /> Donna Heran,R.E.H.S.,Direct.
<br /> ` � , � ,• ;" �NVII��lN�YIENTA.L'H�,��.,'�`� � -
<br /> SAN JOAQUIN COV,NTY CIERTIFIED UI? FIED P$0P1t.AM AC�N�
<br /> 1R 3ViiT TO E ATE.
<br /> R. ..
<br /> f< Program 7 Permit Eermtl i
<br /> Program Code and Descn oa
<br /> Record ID Number p ,
<br /> �sltd
<br /> PR0513679. PT0009874 2220-SMALL QUANU HAZARIDW WAST>Ir 9IrNER�TV FA LITY 1/1/2011 TQ":121311MQ11
<br /> HaWaste Generator
<br /> zardous
<br /> .Rroaram: .,;
<br /> In order to irtaintain khe permit to operate;Hazardou Wesie i enerstors shall comply with Callfornw Health and Safety Code Div.20,Chap.6.5,Art.2-13
<br /> Sec 251QQ'et. n Title 22 Call�ofnir&-.de tfuni ttpns Chap 20
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<br /> Q1'16t 00-'tJNt#ER�R�IUHl STORAGE TMIVK FACILITY 1/1/2011 To 12/31/2011
<br /> r e 23 California Code of F3e0ulatlons i0i6i__16
<br /> ' ram
<br /> California Health ansa$a etyl;,ode f�lv_20,Chap 6 7a!d,-:[
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<br /> s -
<br /> P/E Tank It 9P e4t1t, 1?t it , _apacity Contents Ferrjvl,,#atus,. System Type;" Leak 1)Ctecfti>n
<br /> 2362 4 390UQ 17 6Q1 .3 ; PT,0004750` ":1 000, DIESEL q iye; plable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 4402484 `
<br /> Undergrqund StiAr�gek Permit Cont�iwtions
<br /> 1) The Penni#to Opera#t will becq ie vgtd if Annual PerWiFees and Servioe Fees pre jtt?t paid ettdl the>JSP systern(s)I'attg tti remain I4 compliance withthose I!C*, t l onditions.
<br /> 2) In order tq maintain the operatu►g p6rlp t the owner ati�pperator sba(1 eoryply,vrtth t�flip Et+lle Div 70 c"ttap b?ami 673 and CGR Title 23,Chap.16 and 18,as waU as any cgnditions
<br /> establishedby San Joaquin Cod4:
<br /> S)r,rIf the Tank'Operator(s)is d�ffererit'from the Tank Owi[er,pr if the Permit t0 Operate is5ssttelt to a per;;000tlierthan t otmefpc.bperator of the tank,the Permittee shall ensiue that both
<br /> 11te:Tank Owner and tank Operator receive a copy of the permit. '
<br /> q) Written Monitoring Procedures and an Emergency Response Plan inust be,a dby"#Ue Epv¢opuo�tat I li peparltnetrt�}ID�and are.coasidererd UST Rem]"lli t¢gns. The approved
<br /> monitoring;response,and plot plans shall be maintained onsite with the petmtpQye "-
<br /> 5), The Permittee shall comply with the monitoring procedures referenced to tlo,petmit.,
<br /> 6) t Ile Permittee shall perform testing and preventive maintenancGgtl art leak dotpction monitoring equipmeutennttalty„_gsmore frequently if specified by the egtiiptrient Manirfactrirer,atul '
<br /> 7 event 8Pa g tH� of such servicing tp this office.
<br /> vty�e,QaCiunentetron .
<br /> the p Teak,or other unatlt(p�r”4 release,the Permitee sltaltvomply with theiequirementSQ£Tit1�23 OCR, p l4,Art.5,and the approved Emeigeticy ItespottseFlen
<br /> 8) Wrtttett .eab_t'dS of a!1 iiiomtonng pe�rformedshalrbe maintained on-site by the operator and be available loeipspectiori,£or a pgrWi of at least three,years from the date the momtormgmus
<br /> performed
<br /> 91 The EHD sh3ji11iepotified of a>ly bangs m;gwnership or operation 4 the UST'system within 30 days of iuob change
<br /> 10) Upon any Ch®rtge in equrpment,destgp or'operation of the tJS7 "system•(iflciuding cliapge in tank Contents or usage)the Permit to,OQetate,WW be,s 90#p teView,tnotiZficatign or
<br /> revocation. a « ;
<br /> 11) Construction;tCDau am1/or removal.pemrits are re9trirred from the Et 1D'pnor:tti aoy change,repair,or removal of UST system equipm(nc
<br /> g- mP F
<br /> 12) the Pcrntittee shalt submit an annttel report documentiir cit lian a�wtth tl UST AtSrmii tgons,with"_W 0,44304 ttie.tiate of the issitatt9a of this peim t.
<br /> !3) this Permittq Opertrtyshall n die considered petmissiun tq violate airy laws grdmences or stuttitea,of any Pther Feilargi,$tart or Low ngertcy
<br /> 14) A"Condttiooal"Rerm(ti may by'. nked.�£conecoons specified on the inspection repprtnreztotcoiroplet d.by the date(;) m4licak4d•
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<br /> QTS TO OPERATE may 1�SUSPENDED',br FVOICFt ' o;effuse.
<br /> PERMIT(S)Valid 661(af0t: MEMORIAL HOSPITALS ASSOCIATION ;
<br /> `�,BA►;: SUTTER TRACY COMMUNITY HOSPITA
<br /> " `Tank Owner: TRACY COMMUNITY MEMORIAL HOSP
<br /> THIS FORM MU4T"D]jS LAYED CONSPICUOUSLY ON THF,PREMISES
<br /> SUTTER TRACY COMMUNITY HOSP s Facility ID FA0002562
<br /> Regulated Facility: a
<br /> 1420 N TRACY BLVD Account ID AR0002387
<br /> TRACY CA 95376 Issued 2/4/2011
<br /> Billing Address: ATTN NICOSIA, KAREN
<br /> SUTTER TRACY COMMUNITY HOSP t
<br /> e 1420 N TRACY BLVD
<br /> TRACY CA 95376-3497 y = t
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