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x �fi § •� s t '+rig P , S -�' .6 s. �^ �✓;ae�."' ' SAP;4T ''WN.COUNTY ENVIRpDOiTAL. `304 E.Weber Ave.,11 ird Floor a Stockton,-CFS 05202-198 ii-PhoAe'MA68-3420 Donna Heran,RE-H.S.,Director ENVIRONMENTAL HF U'M: . SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM A"ENGY rya PERMIT TO OPERATE Program Permit Permit Record ID Number Program Code and DescriptionValid PR0513649 PT0009844 2220-SMALL QUANTITYHAZARDOUS WASTE GENERATOR FAC ILI IY 1/7/2006 To 12/31/2006 Hazardous Waste Generator Program: In order to maintain the pertttit to operate,Hazardous Waste Generators shall comply with Caiiforrlla health aOd'Sat�tty trbde,Div:.2a;:Chap.6.5,Art.2-13, Sec 25100 et seq, and Title 22,California Code of Regulations,Chap.20_ PR0231331 2300-UNDERGROUND STORAGE TANK FACILITY',- 1111$00.6 To 12/31/2006 UndeFground Storage Tank Program: California Health and Safety CtadQ,Dliv-.w20,Chap 6 7 and Title 23,California Code of ReOu{atlortS�ChB _18 P/E ' Its.#. Tank Record ID Permit# Capacity Contents Pe t8tlts System Type Leak Detection 2362 3 3900023133.10133103 'PT0005118 5,000` DIESEL ActivB;billable DOUBLE WALLED Continuous Interstitial Monitoring Underground Storage to t.Permit Conditions 1) The Permit to Operate will beobmt void'if Annual Permit Fees and Service Fees are not paid and/or the UST systems)fails to remain 14 to llliaaee with these Permit Conditions. 2) In order to maintain the operating permit,the owner and operator shall comply with the H&S Code Div.2li,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 Operator(s)is different from the Tank Owner,or if the Pa'mit to Operate is issued to a person'other than the owner or operatotof dib fartk,•the Permittee shall ensure that both the Tank Owner and tank Operator receive a copy of the permit. ' 4)..``V✓ritten Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Department;(EHD)and are consrde[etd UST Penl if conditions. The approved monitoring;response,and plot plans shall be maintained onsite with the permit. ,;S) The Permittee shall comply with the monitoring procedures referenced in this permit. J ti)," The Permittee shall perform testing and preventive mainLi6aa0ee4>rte1l leak detection monitoring equipment annually,or b ore frequently if specW 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,Art:31'and the approved Emergency Response Plan. $). Wtlli en records of all monitoring performed shall be maintained on-site by'tlilie operator and be available for inspection for a period of at leWtbree yearafroin the date the monitoring was f ",performed. ; The EHD shall be notified of any change in ownership oroperation of the 11ST s stem 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 Operatewill W Subject to fdview,modification or kvocation: -11) Construction,repair and/or removal permits are required£rom:the EHD prior to any change,repair or removal of HST system equipment. 12) Vie Permittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the date of the issuance ofthis;permit. z 13') This"Peririif to Operate shall not be considered permissionto 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*.the date(s) indicated i PERMITS70 OPERATE are NOT TRANSFERABLE and may §VSPENDED or.REVOKED for cause: . 1. PERMIT(s)Valid only for: _LODI MEMORIAL HOSPITAL .DBA 0DI'MEMORIAL HOSPITAL-WEST 4 -THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES- R96(datedFacility: LODI MEMORIAL HOSPITAL.-. Facility ID FA0000513 975 S F.AIRMONT AVE.: Account ID AR0000512 'LODI CA942,40 ed 2/3/2006 Issu Billing Address: LODI MEMORIAL HOSPI'TAI; 975 S FAIRMONT AVE LODI CA 95240 7023.rpt ,- :