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SAN jOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 304 E.Weber Ave.,Third Floor•Stodaon,CA 95202-2708• Phone(209)468-3420 Donna Heran,REI-LS.,Director ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Program Permit Permit Record]D Number---Z Valid PR051 PT0010198 2247-RCRAH S WASTE GENERATOR FACILITY 1/1/2007 To 12/31/2007 Hazardous Waste Generator Pro ram: In order I to operate,Hazardous Waste Generators shall comply with California Health and Safety Code, Div.20,Chap.6.5,Art.2-13, Sec.25100 et seq,and Title 22,California Code of Regulations,Chap_20,...... PR0231036 2300-UNDERGROUND STORAGE TANK FACILITY 1/4/2007 To 12/31/2007 Underground Storage Tank Program: . California Health and Safety Cgde,Div.20,Chap._6.7;and Title 23,California Code of Regulations,Chap_16-------------------------------------------------------------- I - _ P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection 2362 3 -390002310360103603 PT0004627 20,000 DIESEL Active,billable DOUBLE WALLED continuous Interstitial manitorirg .Underground Storage Tank Permit Conditions 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. 2) In order to maintain the operatingpemtit,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 established by San Joaquin County. 3). If the Tank Operator(s)i{different from the Tank Owner,or if the Permit to Operate is issued to a person other than the owner or operator of themank,the Permittee shall ensure that both the Tank Owner and tank Operator receive a copy of the permit. 4) .Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Department(EIID)and.are considererd UST Permit Conditions. The approved monitoring,response,and plot plans shall be maintained onsite with the petrNt. 5) The Permittee shall comply with the monitoring procedures referenced in this permit. 6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently if specified by the equipment manufacturer,and provide documentation of such servicing to this office. 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,An.5,and the approved Emergency Response Plan. g) Written records of all monitoring performed shall be maintained on-site by the operator and be available for inspection for a period of atlea st three years from the date the monitoring was performed. 9) The EHD shall be notified army change in ownership or operation of the UST system within 30 days of such change 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 review,modification or revocation. 11) Construction,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment. 12) The Pennine shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days ofthe dateof the issuance of this pcnmt. 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. 14) A"Conditional'Permit may be revoked if wrrections specified on the inspection report are not completed by the dates) indicated. PERMITS TO OPERATE are NOT TRANSFERABLE and may be SUSPENDED or REVOKED for cause. PERMIT(s)Valid only for: ST JOSEPHS REGIONAL HOUSING CO Tank Owner: ST JOSEPHS MEDICAL CENTER CORP THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES Regulated Facility: ST JOSEPHS HOSPITAL Facility ID FA0003761 1800 N CALIFORNIA ST AccountlD AR0003340 STOCKTON CA 95204 Issued 2/13/2007 Billing Address: ATTN : MCALISTER, RAY ST JOSEPHS HOSPITAL PO BOX 213008 STOCKTON CA 95213-9008 7023.rpt