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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.Weber Ave.,Third Floor•Stockwn,CA 95202-2708•Phone(209)468-3420 <br /> Donna Haran,RE.H S.,Director <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Program Permit Permit <br /> Record ID Number Program Code and Description Valid <br /> PRO514210 PT0010413 2227-HAZARDOUS WASTE GENERATOR FACILITY 1/1/2006 To 12/31/2006 <br /> Hazardous Waste Generator Program: <br /> 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, <br /> Sec.25100 at seq,_and Title 22,California Code of Regulations,Chap._20. _ __________ _ _ <br /> PR0232494 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2006 To 12/31/2006 <br /> Underground Storace Tank Program: <br /> California Health and SafetCode, Div.20,Chap.6.7 and Title 23,California Code_of Regulations:Chap; 16. _ <br /> -------------------------------------- --------- <br /> P/E Tank 4 Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection <br /> 2362 1 390002324940249401 PT0004562 12,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <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 systems)fails to remain in compliance with these Permit Conditions. <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 suit 1 s,as it as any conditions <br /> established by San Joaquin County. <br /> 3) If the Tank Operator(s)is different from the Tank Owner,or if the Permit to,Operateis issued to a person other than the owner or operator of the tank,the Permittee shall ensure that both <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 me consideterd UST Permit Conditions. The approved <br /> monitoring,response,and plot plans shall be maintained onsite with the permit. <br /> 5) The Pemuttee shall comply with the monitoring procedures referenced 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 equipment manufacturer,and <br /> provide documentation of such servicing to this office. <br /> 7) In the event of a spill,leak,or other unauthorizcd 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 for 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 /> 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 <br /> revocation. <br /> 11) Construction,repair and/or removal permits are required from the EHD prior to any change,repair or removalofUST system equipment. <br /> 12) The Penance shall submit an annual report documenting compliance with the UST Pemat Conditions within 30 days of the date of the issuance 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: KAISER PERMANENTE <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: KAISER PERMANENTE FacilitylD FA0002602 <br /> 7373 WEST LN Account ID AR0004672 <br /> STOCKTON CA 95210 Issued 2/3/2006 <br /> Billing Address: ATTN ANNA MOSHER <br /> KAISER PERMANENTE <br /> 7373 N WEST LN <br /> STOCKTON CA. 95210 <br /> 7023.rpt <br />