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.► - SAN JOAQUIN COUNTY ENVIRONMENTAL.HEALTH DEPARTMENT 304 E.Weber Ave.,Third Floor•Stockton,CA 95202-2708•Phone(209)468-3420 Donna Henan,RERS.,Director ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY PERMIT TO OPERATE Program Permit Permit Record m Number Program Code and Description Valid PRO514003 PTOOIOI98 2247-RCRA HAZARDOUS WASTE GENERATOR FACILITY 1/1/2007 To 12/31/2007 Hazardous Waste Generator Program: 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.25100et seq,_and Title22,C____ .iaod Ce of Regulation,Chap_20. .___________________ - PR0231036 300-UNDERGROUND STORAGE TANK FACILITY 1/11/2007 To 12/31/2007 Underground Stora a Ta Pr ram: California Health and afet-Code, iv.20,Chap._6.7 and Title 23,Califomia Code of Regulations,Chap_16. __ _ P/E Tank Tank Re ID Permit# Capacity Contents Permit Status System Type Leak Detection 2362 3 39000 0360103603 PTOOD4627 20,000 DIESEL Active,.billable DOUBLE WALLED Continuous Interstitial Monitoring .Underground Storage Tank Permit Conditions 1) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid and/or the UST syswm(s)fails W remain in compliance with these Permit Conditions. 2) In order to maintain the operating pemnt,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 Operawr(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 most be approved by the Environmental Health Department(EHD)and are considererd UST Permit Conditions. The approved monitoring,response,and plot plans shall be maintained onsite with the permit 5) The Perinaee shall comply with the monitoring procedures referenced in this permit 6) The Permittee shall perform testing and preventive maintenance on all leak detectionmonitoring equipment annually,or more 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 Permitee shall comply with the requirements of Title 23 CCR,Chap:16,An.5,and the approved Emergency Response Plan g) Wrimm records of all monitoring performed shall bemaintained on-site by the operator and be available for inspection for a period of at least three years from the data 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 permits are required 6om the EHD prior to any change,repair or removal of UST system equipment. 12) The Pemuaee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the date.of the issuance of this permit. 13) This Permit W 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 date(s) indicated. PERMITS TO OPERATE are NOT TRANSFERABLE and may be SUSPENDED or REVOKED for cause. PERMIT(s)Valid only for: ST JOSEPHS REGIONAL HOUSING CO Tank Owner: ST JOSEPHS MEDICAL CENTER CORP THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES Regulated Facility: ST JOSEPHS HOSPITAL Facility iD FA0003761 1800 N CALIFORNIA ST Account ID AR0003340 STOCKTON CA 95204 Issued 2/13/2007 Billing Address: ATTN : MCALISTER, RAY ST JOSEPHS HOSPITAL PO BOX 213008 STOCKTON CA. 95213-9008 7023.rpt