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SAN.JOAQUI.. LINTY ENVIRONMENTAL HEA LT EPARTMENT. t.
<br /> �iOQ E,-Main St. •Stockton,CA 95202-3029 Phone(209)468=3420
<br /> Donna Heran,R.E.H.S.,Director
<br /> ENV I�C�I�TMEN�'�.L.�IEALTI
<br /> ✓' ' (,
<br /> SAN JOAQUIN,CJOUNTY CERTIFIEDtNIFIWi PROGRAM AGENCY
<br /> PERMIT TO OPERA'`;
<br /> Program Permit
<br /> s
<br /> Permit
<br /> Record ID Number Program Code and Description Valid
<br /> PR0513679 PT0009874 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATI* IM/2010 To 12/31/2010
<br /> Hazardous Waste Generator Program:
<br /> In order to maintain the permit to operate,Hazardous Waste Generators shall comply with"California Health and Sifety'Code;Div,20,Chap.6.5 Art.2-13
<br /> Sec_25100 et seq,and Title 22,California Code of Regulations Gl1ap 20
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<br /> PR0231736 2300 UNDERGROUND ST,9 TANK FACILITY 1/1/2010 To 12!31/2010
<br /> underground oraae Tan_ k_ Prog �_�' ,
<br /> C- t;---fomia H tl-Safety Code ply I{ap„6_T_and Title 23 California Cpeta� ul�lt' rls Cha t,
<br /> -y - ,
<br /> P/E Tank. Tank Record ',-y;IBtt�lit'# Capacity Content§: ' ; it Status . ';;:�'•systemType Leak Detection
<br /> 23 : 4 002317360173604 PTV004758 10,000 E, 4 :;
<br /> 5Active,billable,.:, '.DOUBLE WALLED Continuous Interstitial Monitoring
<br /> ".177Iri[;tolt)tt1 :rage Tank Permit Conditions
<br /> ' 'I1te Permit to Operate will become void if Annual Permit Fees and Service Fees are not,0i14antl/or the UST sy#cjn(s)fails to remain in compliance with thesd6rmit Conditions. >
<br /> `. In order to maintain the operating permit,the owner and operator shall comply with the H&S Code,pjv,20,Chap.b;7'.i7nd 6.75;a4CCR,Title 23,Chap.16 and I9;is 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 Ope#att i5 issued to a person otherilian the owner of opetatof bf 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 Conditiwj 'The approved
<br /> monitoring,response,and plot plans shall be maintained onsite with the pennit.
<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 annuailrj,,grmore 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 2 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 f4 inspection fora period of at least three years from the date the monitoring was
<br /> performed.
<br /> 9) The EHD shall,1:4 tiatified of any change in ownership or operation of the UST system within 30 days of such{Mange.
<br /> i0) U,pott.iir change in equipment,design or operation of thdUST system(including change in tank contents'er usage),the Permit to Operate will be subjectte ievn w,modification or
<br /> oeatton. '
<br /> 11) Qonstruction,repair and/or remo -xequired from EHD pnorVrg change,repair or removal of U3T.system equipment.
<br /> 17) 1he,Pennittee shall submit an annual report documenting compliance with the,U$tr(tertnit(ondthotlS wtthm 30 Q;lysfpf the date of the issuance of this permit;,
<br /> 13) ')Itis$milt to Operate shall not be considered permission to violate attyl t>Sdinances or staWt `of*.'dtltet Federal,State or Local agency.
<br /> ;AQ-,A ?C I°$ermit may be revoked if corrections specified on the inspection report are n©t coiiited bj+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: MEMORIAL HOSPITALS ASSOCIATION
<br /> DBA: SUTTER TRACY COMMUNITY HOSPITA
<br /> Tank Owner: TRACY COMMUNITY MEMORIAL HOSP
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility: SUTTER TRACY COMMUNITY HOSP Facility ID FA0002562 <;
<br /> 1420 N TRACY BLVD Account ID AR0002387 `.
<br /> Issued
<br /> TRACY CA 95376 ' - `"` 210/2010
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<br /> Billing Address: ATTN NICOSIA, KAREN r €
<br /> �r ri
<br /> SUTTER TRACY COMMUNITY HOSP u t ,
<br /> 1420 N TRACY BLVD
<br /> TRACY CA 95376-3497
<br /> A i sY 1 t . 5
<br /> v v n Y
<br /> 7023.rpt
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