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SAN JOAQUIN COUN'T'Y ENVIRONMENTAL HEALTH DEPARTMENT 304 E.Weber Ave.,Third Floor a Stockton,CA 95202-2708•Phone(209)468-3420 Donna Henn,RE_H.S.,Director ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Program Permit Permit Record ID Number Program Code and Description Valid PR051421 PT0010413 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/112002 To 12/3112002 Hazardous Waste Generator Program: Califomia Health_and Safety Code Div.20,Chap:6.5,Art.2.13 Sec.25100 et seg,and Title 22.California Code of Regula0ons,Chap_20______ __ PR023249 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2002 To 12131/2002 Underground Storage Tank Program: California Health and Safely CWe_Div.20,Chap.6.7 and Title 23 Califomia Code of Regulations Chap.16....................._ . P/E Tank# Tank Record ID Permit# Capacity Contents Pemilt Status System Type 2362 1 390002324940249401 PT0004562 12,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring Underground Storage Tank Permit Cogditions 1) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid and/or the UST sysmm(s)fails to remain in compliance with these Permit Conditions. 2) In order to maintain the operating pennon 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) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Department(EHD)and are considenrd UST Pemdt Conditions. The approved monitoring,response,and plot plans shall be maintained onsite with the permit. 5) The Pennine 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 manufacnuer, and provide documentation of such servicing to this office. 7) In the event of spill,leak,or other unauthorized release,the Pernitee shall comply with the requirements of Title 23 CCR,Chap.16,Art.5,and the approved Emergency Response Plan. 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 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 pemuts 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 Condition within 30 days of the anniversary 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 any other Federal,State or Local agency. 14) A"Conditional"Permit may be revoked if corrections 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: KAISER PERMANENTE THIS FORM MU57 BE DISPLAYED CONSPICUOUSLY ON THE PREMISES Regulated Facility: KAISER PERMANENTE Facility ID FA0002602 7373 WEST LN Account ID AR0004672 STOCKTON. CA 95210 Issued 3/29/2002 Billing Address: ATTN : KAISER PERMANENTE KAISER PERMANENTE 7373 WEST LN STOCKTON, CA 95210 7023.rpt