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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 <br /> Y <br /> ENVIRONMENTAL HEALTH <br /> SAN JOA <br /> 9y,!N COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Program Permit Perintt <br /> ltd <br /> Record ID Number Program Code and Description 1, } t <br /> i <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, <br /> t. 9 <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. <br /> - ------- --- ---- <br /> w <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 <br /> it <br /> - r <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 <br /> s a - <br /> ° r a� t t�* ti� rx t k c , et t y ;,F+. 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