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UV <br /> SAN JOAQUICOUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E. Main SL • Stockton,CA 95202-3029 • 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 /> Program Permit <br /> Record ID Number Program Code and Description Permit <br /> Valid <br /> Hazardous <br /> to Generator <br /> 2247-RCRA HAZARDOUS WASTE GENERATOR FACILITY 1/1/2009 To 12/31/2009 <br /> Hazardous Waste Generator Procram: <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 et seq,_and TRIe 22,California-Code of Re ulations,Cha :20,. <br /> - --- -- - - - , - -- -p <br /> ----- --------------------------------------------------------------- - <br /> PR0231036 230 - DERGROUND STORAGE TANK FACILITY <br /> Under round Stora a Tank Pro ra 1/1/2009 To 12/31/2009 <br /> Ca ___ and y Code,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 S stem <br /> Y Type Leak Detection <br /> 2362 3 390002310360103603 PT0004627 20,000 DIESEL Active,billable ----1.WALLED Continuous Interstitial Monitoring <br /> BOE ID#: 44-024500 <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 system(s)fails to remain in compliance with these Permit Conditions. <br /> 2) In order to maintain the operating pemdt,the owner and operator shall comply with the H&S Code,Div.20,Chap.6.7 and 6.75;and CCR,Tide 23,Chap.16 and 18,as well 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 Operate is 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 are considererd UST Permit Conditions. The approved <br /> monitoring,response,and plot plans shall be maintained onsite with the permit. <br /> 5) The Permittee 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 manufactu <br /> provide documentation of such servicing m this office. rer,and <br /> 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,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 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) Concoction,repair and/or removal permits are required from the FIJI)prior to any change,repair or removal of UST system equipment. <br /> 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. <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: ST JOSEPHS REGIONAL HOUSING CO <br /> Tank Owner: ST JOSEPHS MEDICAL CENTER CORP <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: ST JOSEPHS HOSPITAL Facility ID FA0003761 <br /> 1800 N CALIFORNIA ST Account fl) AR0003340 <br /> STOCKTON CA 95204 Issued 2/4/2009 <br /> Billing Address: ATTN : MCALISTER, .RAY <br /> ST JOSEPHS HOSPITAL <br /> PO BOX 213008 <br /> STOCKTON CA 95213-9008 <br /> 7023.pt <br />