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SAN JOAQUICOUNTY ENVIRONMENTAL HEAL•EPARTMENT <br /> 304 E.Weber Ave.,Third Floor• so drton,CA 95202-2708•Phone(209)468-3420 <br /> Donna Heran,R.E.H.S., Director <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Permit <br /> Program Permit program Cade and Description Valid <br /> Record ID Sumber 11112004 To 1213112004 <br /> PR0514210 PT0010413 2227-HAZARDOUS WASTE GENERATOR FACILITY <br /> Hazardous Waste Generator Program: <br /> In order to maintain the permit to operate,Hazardous Waste Generators shall comply vAth California Health and Safety Code,Div.20,Chap.6.5,Art.2-13, <br /> See_.__2.5100 et seq,-and Title 22:Califomla Code of Regulations,Chap.20- -_,-_......----------------------------- ----------------------- <br /> PR0232494 2300-UNDERGROUND STORAGE TANK FACILITY <br /> 11112004 To 12131/2004 <br /> Underground Storage Tank Program <br /> California___ Health and_Safery Code,Div_20,_Chap.6.7 and Title 23,California Code of Regulations,Chap,16: _ -_------_-,-__-_._____....__--------------------- <br /> e Leak <br /> P/E Tank= <br /> an <br /> Record ID Permit# Capacity Contents Permit Status System <br /> ALILED Continuous Inters6at I Monitoring <br /> 2362 1 390002324940249401 PT0004562 12,000 REGULAR UNLEADED Active,billable <br /> Underground Storage Tank Permit Conditions <br /> 1) The Pep 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 compliantt with these Permit Conditions. <br /> Perp <br /> 2) In order u maintain the operating permit,the owner and operator shall comply with the H&S Cade,Div.20.Chap.6.7 and 6.75;and CCR,Title 23,Chap.16 and 18,as well as any conditions <br /> esubi¢hed by San Joaquin County. <br /> 3) If the Ta:k 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 Perminee shall ensure that both <br /> me Tari O+mer and tank Operator receive a copy of the permit. <br /> 4) 'v�riven m-nitoring Procedures and an Emergency Response Plan must be approved by the Envimrmmul Hea:zb Department(ERD)and are considererd UST Pertsit Conditions. The approved <br /> munitorir=response,and plot plans shall be maintained onsite with the pemtit. <br /> 5) The Pe=:tec shall comply with the monitoring procedures referenced in this permit. <br /> 6) The Pe,...:ree shall per form testing and preventive maintenance on all leak detection monitoring equipmmm-t 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 ofa spill,leak,or other unauthorized release,the Permilee shall comply with the requiremens of Title 23 CCR Chap.16,An.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 orat 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 /> 11) Led(1 Tm repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment. <br /> 12) The P==e shall submtit an annual report documenting compliance with the UST Pemtil Conditions within 30 days of the date of the issuance of this permit. <br /> 13) This P.erit to Operate shall not be considered permission to violate any laws,ordinances or statutes of am other Federal,State or Local agency. <br /> )4) {-Conditional"Permit maybe revoked ifcomfions 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 /> DBA: KAISER PERMANENTE (WEST LN) <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility. KAISER PERMANENTE Facility ID FA0002602 <br /> 7373 WEST LN Account IO AR0004672 <br /> STOCKTON, CA 95210 Issued 41112004 <br /> Billing Address: ATTN : ANNA MOSHER <br /> KAISER PERMANENTE <br /> 7373 N WEST LN <br /> STOCKTON, CA 95210 <br /> 7023 rs <br />