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SAN JOAQUN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.Weber Ave.,Third Floor• Stndtmn,CA 95202-2708 • Phone(209)468-3420 <br /> Donna Heran, REH.S,.Director <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Program Permit Permit <br /> Record ID Number Program Code and Description Valid <br /> PR0514003 PTODIO198 2247-RCRA HAZARDOUS WASTE GENERATOR FACILITY 1/1/2006 To 12/31/2006 <br /> Hazardous Waste Generator Program: <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 etw!%and Tdle 22,California Code of Regulations,Chap_20_ <br /> PR0231036 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2006 To 12/3112006 <br /> Underground Storage Tank Program: <br /> California Health and Safety Code,Div.20,Chap.6.7 and Title 23, California Code of Regulations,Chap, 16; _ ______ <br /> ------ ------------ -------- ------- --------------- --- ----- ------------ -------- <br /> P/E Tank# Tank Record m Permit If Capacity Contents Permit.Status System Type Leak Detection <br /> 2362 3 390002310360103603 PT0004627 20,000 DIESEL Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <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) N 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 <br /> established by San Joaquin County. <br /> 3) If 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 ofthe 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 most 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 pemut. <br /> 6) The Permince shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently if specified by the equipment manufacturer,and <br /> provide documentation ofsuch servicing to this office. <br /> 7) In the event of a spill,leak,or other unauthorised release,the Permitee shall comply with the requirements of Title 23 CCR,Chap.16,Art.5,and the approved Emergency Response Plan. <br /> 8) Written records of All monitoring performed shall be maintained on-site by the operator and he 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 ofthe 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 review,modification or <br /> revocation. <br /> 11) Construction,repair and/or removal permits are required from the EHD prior to my 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 my laws,ordinances or statutes of any other Federal,State or Local agency. <br /> 14) A"Conditional"Permit may be revoked if eoffections 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 CONSPICUOUSLYON THE PREMISES <br /> Regulated Facility: ST JOSEPHS HOSPITAL Facility ID FA0003761 <br /> 1800 N CALIFORNIA ST Account ID AR0003340 <br /> STOCKTON CA 95204 Issued 2/3/2006 <br /> Billing Address. ATTN : MCALISTER, RAY <br /> ST JOSEPHS HOSPITAL <br /> _ PO BOX 2.13008 <br /> STOCKTON CA 95213-9008 <br />