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SAN JOAQUIN Environmental Health Department <br /> Kasey ,Foley, RENS, Interim Director <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> This permit is valid for Permit Status identified as "IN COMPLIANCE" <br /> Program <br /> Record ID Program Code and Description <br /> PR0231036 2300-UNDERGROUND STORAGE TANK FACILITY <br /> Underground Storage Tank Program: <br /> Califomia Health and Sa(ety Code,Div.20,Chap.6.7 and Title 23,California Code of Regulations,Chap.16. <br /> P!E Tank# CERS Tank ID Permit S Capacity Contents Permit Status System Type Leak Detection Permit Valid <br /> 2360 3 10181391-001 PT0004627 20,000 DIESEL INCOMPLIANCE DOUBLE-WALL Continuous Monitoring 11112020 To 1213112020 <br /> CDTFA(BOE)ID#: 44052429 <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 andlor the UST system(s)fails to remain in compliance with these Permit Condilions. <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 Operatur(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 bath <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 Permhtee 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 far 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 /> Upon any change in equipment,design or operation of the UST system(including change in tank contents or usage),the Permit to Operate will he 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 or removal of UST system equipment. <br /> 12) This Permit to Operate shall not he 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 dates)indicated. <br /> PERMITS TO OPERATE may he SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: PORT CITY LLC DBA ST.JOESEPH'S MEDICAL CENTER <br /> DBA: ST.JOSEPH'S MEDICAL CTR <br /> Tank Owner: DIGNITY HEALTH FORMERLY CATHOLIC HEALTH CARE WEST DBA ST.JOSEPH'S <br /> CERSID 10181391 <br /> Regulated Facility: ST JOSEPHS HOSPITAL Facility ID FA0003761 <br /> 1800 N CALIFORNIA ST Account t4 AR0003340 <br /> STOCKTON CA 95204 Issued 1/8/2020 <br /> Billing Address: ST. JOSEPH'S MEDICAL CTR. <br /> CATHY GRAHAM <br /> 3400 DATA DR <br /> RANCHO CORDOVA CA 95670 <br /> 7124.rpt <br /> 1868 E.Hazelton Avenue I Stockton, California 95205 1 T 209-468-3420 1 F 209464-0138 1 ww.sjcehd.com <br />