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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.Weber Ave.,Third Floor a Stockton,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 /> PRO514003 PT0010198 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2003 To 12/31/2003 <br /> Hazardous Was Generator Program: <br /> California Health and Safety Code,Div_20,Cha .6.5.Art.2-13,.S 25100 et seq,and TIME 22,Califomia Code of Regulations,Chap_20.. ............. <br /> PR0231036 2300-UNDERGROUND STORAGE TANK FACILITY 1/112003 To 12131/2003 <br /> Underground Storage Tank Program: i <br /> California Health and Safety Code,Div.20,Chap.6.7 and Title 23,California Code of Regulations,Chap:16. _ ___------_-------------------- -------- ---------------- <br /> ---------------- <br /> PIE Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection <br /> 2362 3 390002310360103603 PT0004627 20,000 DIESEL Active,billable DOUBLE WALLED continuous Imersubal ssonitodng <br /> UDderground Storage Tank Permit Conditions <br /> I) The Permit to Operate will become void if Annual Permit Fees and Service Fees arc not paid and/or the UST systems)fails to remain in compliance with these Permit Conditions. <br /> 2) In order to maintain the operating permit the owner and operator shall corMly 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 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 unit 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 Pemunee shall comply with the monitoring procedures referenced in this permit. <br /> 6) The Perrin"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 of such servicing to this office. <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 Land,contents or usage),the Permit to Operate will be subject to review,modification or <br /> 11) Le81g'dblglbn,repair and/or removal permits are required from the EHD prior to any change,repair or rennval 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 anniversary dale 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 my 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 /> DBA: ST JOSEPHS REGINAL HOUSING <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 ID AR0003340 <br /> STOCKTON, CA 95204 Issued 5/112003 <br /> Billing Address: <br /> ST JOSEPHS HOSPITAL <br /> PO BOX 213008 <br /> STOCKTON, CA 95213-9008 <br /> 7o23.rpt <br />