SAN JOAQU.WOUNTY ENVIRONMENTAL REALSEPARTMENT
<br /> 600 E. Main St. • Stockton,CA 95202-3029 • Phone(209)468-3420 5
<br /> Donna Heran,R.E.H.S.,Director
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<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOA
<br /> 9y,!N COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit Perintt
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<br /> Record ID Number Program Code and Description 1, } t
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<br /> PR0513679 PT0009874 2220-SMALL QUANTITY HAZARDOUS WASTE(GENERATOR FACILITY 0,8,1)0-12131/2008
<br /> Hazardous Waste Generator Program:
<br /> In order to maintain the permit to operate, Hazardous Waste Generators shall cromply with California Health and Safety 1,�� Di;c..29l chap.6.5,Art.2-13,
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<br /> Sec-25100 e__t_seq and Title 22;California Code of Regulations Chap 20 s
<br /> uPR0231736 2300 UNDERGROUND STORAGE Ti1�k*K ILITY 4114 2008 To 12/3112008
<br /> nderground Storage Tank Program:
<br /> Cahfornla Health 3Ltd Safet Code,Div. 20;Chap._6.7 and Title 23,California Code of Regulations_Chap,16.
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<br /> /E Tank'#; Tank Record ID Permit# Capacity Contents ` ttinit Status System ._ Leak Detection
<br /> 2362 4 390002317360173604 PT0004758 10,000 TIESEL ;Active,billable DOUBLE WALL Continuous Interstitial Monitoring
<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 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 a4,f)75;and CCR,Title 23,Chap.16 and 18,as well as any c606'tions
<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 3hii,3ank,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 considereid 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 detecttoaattonitciting 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 teast,thr.ee years from the date the monitoring was
<br /> performed. g
<br /> 9) ,"111e 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 sank coutpntsor usage),tite3tq *t to Operate will be subject to review modification or
<br /> revocation.
<br /> 11) Construction,repair and/or removal permits are required from the EHD prior to any change,repair ofremovai of UST system equiplp6nt ,
<br /> 2 The Permittee shall submitan annual report documenting compliance with the UST Permit Conditions within 30 days of the date ofpf ce of this
<br /> permit., -.
<br /> 13) This Permit to Operate slial1•ri9t be considered permission to violate any laws,ordinances et' Utes of any other Federal S�Qet�4ay 4a.
<br /> 14) A"Conditional'Permit„may be revoked if corrections specified on the inspection repor)4h apt,completed by the dates) ridledited
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<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 } r T
<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 fe Facility ID FA0002562
<br /> r v 1420 N TRACY BLVD ax °�� air y j ,k Account ID AR0002387t0 �
<br /> s , TRACY CA 95376 Issued281I2008
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<br /> 1420 N TRACY BLVD
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