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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E.Hazelton Ave. • Stockton,CA 95205-6232 a 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 program Code and Description Valid Record 1➢ N m 4210 ' PT0010413 22 QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/112013 To 12/31/2013 P rorm 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 e_t seq and_ Title 22,California Code of Regulations,Chap.-20------------- - . PR0232494 2300-UNDERGROUND STORAGE TANK FACILITY 11112013 To 12131112013 nderotgund Storage Tank Program: California Health and Safety Code, Div.20,Chap.6.7 and Title 23,California Code of Regulations,Chap-.16-------------------------------------------------------------- ------h --- ---- ----------------- - . -- ... . Detection an an ,coli Permit Capacity ontents enrllt latus ooUBLE-WALL Conlinuaue lnleratillal Monilon1 2362 1 39000232494D249401 PT0004562 12.000 DIESEL Active,billable BOE TD* 44033865. Underground Storage Tank Permit Conditions I) The Permit to Operate will became 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) 1f the Tank Operators)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 eonsidererd UST Permit 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 Permitee 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 Pennilee 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 andtur removal permits ere 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 an the inspection report are not completed by the data(s) indicated. .-----.---_...-----_.--_...----.---_..-_-------------------_...---_...._--....--.--..--_.----..---...---...- ---... PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause. PERMIT(s)Valid only for: KAISER PERMANENTE THIS FORM MUST BE DISPLAYED CONSMUOUSLY ON THE PREMISES KAISER PERMANENTE FecilitylD FA0002602 Regulated Facility: Account ID AR0004672 7373 WEST LN STOCKTON CA 95210 slued 2/1912013 Billing Address: ATTN : EVS KAISER PERMANENTE 7373 N WEST LN STOCKTON CA 95210 7023 rpt