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SAN JOAQ COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E. Hazelton Ave. • Stockton,CA 95205-6232 • Phone(209)468-3420 Donna Heran,R.E.H.S.,Director ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Permit Program Permit Record Pro am Code and Description Valid 514210 - LL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/112014 To 1 213112 01 4 te e r In order to maintain the permit to operate,Hazardous Waste Generators shall comply with California Health and Safety Code,Div.20,Chap.6.5,Art.2-13, Sec.25100 at seg,and Title 22,California Code of Regulations,Chap_20.__ _ _ --__-------------------_ PR0232494 2300-UNDERGROUND STORAGE TANK FACILITY 1/112014 To 12/3112014 Underground Storage Tank Program California Health and Safety Code, Div.20,Chap.6.7 and Title 23,California Code of Regulations,Chap_16._ P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection 2362 1 390002324940249401 PT0004562 12,000 DIESEL ACTIVE,BILLABLE DOUBLE-WALL Continuous Monitonng BOE ID#: 44000692 Underground Storage Tank Permit Conditions 1) The Permit to Operate will become void if Annual Permit Fees end Service Fees are not paid and/or the UST system(s)fails to remain in compliance with these Persil Conditions. 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 established by San Joaquin County. 3) Ifthe Tank Operator(s)is different from the Tank Owner,or ifthe Permit to Operate is issued to a person other than the owner or operator of the tank,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 most be approved by the Environmental Health Department(EHD)and are considererd UST Permit Conditions. The approved monitoring,response,and plot plans shall be maintained onsite with the permit. 5) The Permittee shall comply with die monitoring procedures referenced in this permit. 6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or mom 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 Permitee shall comply with the requirements of Tide 23 CCR,Chap.16,Art 5,and the approved Emergency Response Plan. 8) Written records ofall monitoring performed shall be maintained on-site by the operator and be available for inspection for a period of at least three years from the date the monitoring was performed 9) The EHD shall be notified of any 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) This Permit to Operate shall not be considered permission to violate any laws,ordinances or statutes of any other Federal,State or Local agency. 13) A"Conditional'Permit may be revoked if corrections specified on the inspection report are not completed by the date(s)indicated. PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause. PERMIT(s)Valid only for: KAISER FOUNDATION HOSPITAL Tank Owner: KAISER FOUNDATION HOSPITALS THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES KAISER PERMANENTE Facility ID FA0002602 Regulated Facility: 7373 WEST LN Account ID AR0004672 STOCKTON CA 95210 Issued 3/1912014 Billing Address: ATTN : ENGINEERING DEPARTMENT KAISER PERMANENTE 7373 N WEST LN STOCKTON CA 95210 7023.rpt