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SAN JOAQ,UTl\ LINTY ENVftNMENTAL IEEE :PARTIVIENT' <br /> TW E. Hazelton Ave.-9 StocktonXA95205-6232 a Phone(209) 468-3420 <br /> Donna Heran,-R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> ***DUPLICATE*** <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 /> PRO613679 PT0009874 2247-RCRA 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._25100 et seq,and Title 22,California Code of Regulatiott� . <br /> - -------- ­----------------------- ----------------------- ----------- --- --- ---------- -------- ---------- <br /> �iPR0231736 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2014 To 12/31/2014 <br /> cgraround Storage Tank Program: <br /> California Health and Safety Code_Div 20 Chap._ ___an Title C-a i oT o in`f iCtS________eulations,Chap._16_ <br /> P/E Tank Tank Record ID Permit Capacity Contents Permit Status System Type Leak Detection <br /> 2362 4 390002317360173604 PT0004758 10,000 DIESEL ACTIVE,BILLABLE DOUBLE-WALL Continuous Monitoring <br /> B(4E;10#,;`44024847,1 <br /> Underground Storage Tank Permit Conditions <br /> I) 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 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 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. <br /> ----------------------------------------------------------------------------------------------------------------------------------------------------.-----.--------- <br /> PERMITS TO OPERATE may SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: MEMORIAL HOSPITALS ASSOCIATION <br /> DBA: SUTTER TRACY COMMUNITY HOSPITA <br /> Tank Owner: SUTTER TRACY COMMUNITY HOSPITAL <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> SUTTER TRACY COMMUNITY HOSP Facility ID FA0002562 <br /> Regulated Facility: Account ID <br /> 1420 N TRACY BLVD AR0002387 <br /> TRACY CA 95376 Issued 1/28/2015 <br /> Billing Address: ATTN FAVELA, DENISE <br /> SUTTER TRACY COMMUNITY HOSP <br /> PO BOX 619110 <br /> ROSEVILLE CA 95661 <br /> 7023.rpt <br />