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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 304 E Webs Ava,Third Floor•StDclmon,CA 95202-2708•PhoDe(209)468-3420 Donna Heron,REFLS.,Director ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Program Permit Permit Record ID Number r0gram,Code and Description Valid PR0514210 PT001)7413 2227-PAZARDOUS WASTE GENERATOR FACILITY 1/1/2007 To 12/31/2007 Hazardous Waste Generator ProgW6. In order to maintain the permi 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 Tif a 22,California Code of Regulations, ---- _ ------ ------ -PR0232494 - . 2300 UNDERGROUND STORAGE TANK FACILITY 1/1/2007 To 12/31/2007 Underground Storage Tank Program California Health and Safety Code,Div_20, p3,6.7 and Title 23,California Code of-_Regulations,Chap_ 16. P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detec Ion 2362 1 390002324940249401 PT0004562 12,000 REGULAR UNLEADED Active,billable DOUBLE wALLeD cominuoos Interstitial Monitoring L3QEID#' 44-033865 - - 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 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) 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 the tank,the Permittee shall ensure that both the Tank Owner and tank Operator receive a copy of the permit- 4) ermit4) Written Monitoring Procedures and an Emergency Response Plan most be approved by the Environmental Health Department(EHD)and are censidererd UST Permit Conditions. The approved monitoring,response,and plot plans shall be maintained onsite with the Permit. - 5)'- The Permittee shall comply with the monitoring procedures referenced in this permit 6) The Permittee shall perfont 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 Permitee shall comply with the requirements of Title 23 CCR,Chap.16,'Art.r[.5,and the approved Emergency Response Plan. 8) Written records of all monitoring perforniidshall be maintained on-site by the operator and be available for inspection for a period of at least three yearsfrom 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) Uponany 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 Permittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the date of the issuance of this permit. 13) This Permit to Operate shall not be considered permission to violate any laws,ordinances or statutes of my other Federal,State or Local agency. 14) A"Conditional'Permit may be revoked ifeorrections specified on the inspection report are not Completed by the date(s) indicated. PERMITS TO OPERATE are NOT TRANSFERABLE and may be SUSPENDED orREVOKED for cause. PERMIT(s)Valid only for: KAISER PERMANENTE THIS FORM MUST.BE DISPLAYED CONSPICUOUSLY ON THE PREMISES Regulated Facility: KAISER PERMANENTE Facility ID FA0002602 7373 WEST LN AccountlD AR0004672 STOCKTON CA 95210 Issued 2113/2007 Billing Address: ATTN : ANNA MOSHER KAISER PERMANENTE 7373 N WEST LN STOCKTON CA , 95210 - 7023.rpt