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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 304 E.Weber Ave.,Third Floor• Stockton,CA 95202-2708 o Phone(209)468-3420 D011.1121-1crran,RE.H.S.,Diretor �ENCYSAN X�MTR .ETS. Hl T PERMIT TO OPERATE _. Program Permit Permit Record to Number Program Code and Description Valid PR0514003 PTOOID198 2247-RCRA HAZARDOUS WASTE GENERATOR FACILITY 1/112005 To 1213112005 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.25100 et se a .___ 22 California Code of Regulations,Chap_ ----------- 20 _ _ .- ______ .________________________________ .. ... PRO (136 2300-UNDERGROUND STORAGE TANK FACILITY 11112005 To 12131/2005 Nnn round Storage Tank Program: California Hes _ afety-Code,.Di.___,_Chap.6.7 and Title 23,California Code of Regulations Chap_16_ _-._____. ____._ P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection 2362 3 390002310360103603 PT0004627 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 systems)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) If the Tank Openner(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 considererd UST Permit Conditions. The approved monitoring,response,and plot plans shall be maintained onsite with the permit. 5) The Permittee 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 manufacturer,and provide documentation of such servicing to this office. 7) In the event of a spill,leak,or other unauthorized release,the Pcmitee shall comply with the requirements of Title 23 CCR,Chap.16,An.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 permits arc required from the EHD prior to any change,repair or removal of UST system equipment. 12) The Pernionme 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 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: ST JOSEPHS REGIONAL HOUSING CO Tank Owner: ST JOSEPHS MEDICAL CENTER CORP �— THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES t! Regulated Facaity: ST JOSEPHS HOSPITAL Facility ID FA0003761 1800 N CALIFORNIA ST Account ID AR0003340 STOCKTON, CA 95204 Issued 2/10/2005 Billing Address: ATTN : RAY MCALASTER ST JOSEPHS HOSPITAL PO BOX 213008 , STOCKTON, CA 95213-9006 702J.rpt .