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SAN J04,,iJIN COUNTY PUBLIC HEALTH S,.VICES <br /> 304-E. WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 • PHONE(209)468-3420 <br /> KAREN FORST,M.D., M.P.H., HEALTH OFFICER <br /> DONNA HERON, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> ogram ernut errmt <br /> Record ID Number Program Code and Description Valid <br /> PRO51626 PT0011201 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 111100 To 12131100 <br /> Hazardous Waste Generator Program: <br /> California Health anfSafety Code Div.20,Chap.6.5,Art.2-13 Sec.25100 at seq,and Title 22 California Code of Regulations,Chap.20. <br /> _ _ . __ __ ___ ___ ____ . _ ._.._____ ______ __ _ _ ______ ___ ____ _ _____ _________ _ __ __ ___1_ __ ___ 2_ _ 66 <br /> PR050696 PT0009150 2233-HAZARDOUS WASTE CESQT FACILITY 111100 To 12/31100 <br /> Tiered Permit On-Site Hazardous Waste Treatment Program: ' <br /> California Health and Safety Code Div. 20,Chap.6.5,Art.9,and Title 22 California Code of Regulations,Chap.20. _ <br /> - -- - - - - - 230 - - - ---------RAGE--------- <br /> PR023161 2300-UNDERGROUND STORAGE TANK FACILITY 111100 To 12131100 <br /> Underground Storage Tank Program: <br /> California Health and Safety Code Div.20,Chap.6.7 and Title 23 California Code of Regulations Chap. 16. <br /> __ __ ____ ___ __ _________ ___ __ _ __ _YP ___ _ ______ _ __ _ _ _ _ <br /> LeliK <br /> an ecor roti p t y n emi us ys em e <br /> Active39000231614UbUb4lV—1371500798T-10,000 DIESEL <br /> _BOE,1D�: -04562" "x1 <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 <br /> these Permit Conditions. <br /> 2) In orlerto maintain the operating permit,the permit holdershall comply with the H&S Code,Div.20,Chap.6.7 and 6.75;and CCR,Title 23,Chap. 16 and <br /> 18,as well as any conditions established by San Joaquin County. <br /> 3) If theTmk 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 <br /> Permittee shall ensure that both the Tank Owner and tank Operator receive a copy of the permit. (p <br /> 4) rerd <br /> Written <br /> Permit Conditions. Copies f the ProcProcedures and edures and ResponsePlan <br /> Emergency Responbe se Pl n musovedbt beeat ached to UslHath permit orrbe available forreviewnd/orand we rin pection <br /> 5) yth UST site. <br /> he�ermrttee shall comply with the monitoring procedures refertenced 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 <br /> equipment manu facturer,and provide documentation ofsuch servicing to this office. <br /> 7) In the event of a spill,leak,or other unauthorized release,the Pemtitee shall comply with the requirements of Title 23 CCR,Chap. 16,Art.5,and the <br /> 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 <br /> tram the date the monitoring was performed. <br /> 9) The PHS/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 <br /> review,modification or revocation. <br /> 11) Construction,repair and/or removal permits are required from the PHS/EHD prior to any change,repair or removal of UST system equipment. <br /> 12) The Permittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the anniversary date of the issuance <br /> of this permit. <br /> 13) 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 /> 14) A-Conditional"Permit may be revoked if corrections specified on the inspection report are not completed by 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: SAN JOAQUIN CO HEALTH CARE <br /> Tank Owner: S J GENERAL HOSPITAL <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Facility ID FA0000086 <br /> Regulated Facility: SJ GENERAL HOSPITAL' Account ID AR0000085 <br /> 500 W HOSPITAL RD Issued 9/28/2000 <br /> FRENCH CAMP, CA 95231 <br /> Billing Address: ATTN : SJ CO HEALTH CARE SERVICES <br /> SJ GENERAL HOSPITAL` <br /> PO BOX 1020 <br /> STOCKTON, CA 95201 <br /> 7023.rpt <br />