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<br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT r �
<br /> w 600 E. Main St. • Stockton, CA 95202-3029 Phone(209)468-3420
<br /> Donna Heran,R.E.H.S., Director
<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> �r.
<br /> PERMiT TO OPERATE r�•:
<br /> Program Permit Permit
<br /> Program Code and Descri tion Valid
<br /> Record ID Number g p
<br /> PRO516262 PT0011201 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2011 To 12/31/2011
<br /> Hazardous Waste Generator Program
<br /> In order to maintain the permitto operate Hazardous Waste Generators shall comply with California Health and Safety Code, Div.20,Chap.6.5,Art.2-13,
<br /> Sec.25100 e__t_s_e_q,and Title 22,California Code of Regulations,Chap.20.
<br /> PR0231614 2300-UNDERGROUND STORAGE TANK FACILITY t 1!1/2011 To 12/31/2011
<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
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<br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2362 6 390002316140505419 PT0007988 10,000 DIESELActive,billable DOUBLE WALLED Conhnyous Interstitial Monitoring
<br /> Underground Storage Tank Permit Conditions
<br /> t , P :
<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) 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
<br /> established by San Joaquin County. vN -
<br /> -3,X.; 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 t 1
<br /> :the Tank Owner and tank 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. °r
<br /> 5) The Penmttee shall comply with the monitoring procedures referenced in this permit ;'r r-, w "• ' 1 `,•,f ¢ ,` 1
<br /> 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` r
<br /> provide documentation of such servicing to this office.
<br /> 7) In the event of a spill,leak,or other unauthorized release,the Pemiitee shall comply with the requirements of ritle 23 CCR,Chap.16,Art.5,and the approved Emcrgency 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'. s.{
<br /> performed
<br /> 9) ;The EHD shall bemotiFed of any change in ownership or operation of the UST system within 30 days of such change,,',,.
<br /> T
<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 sub'jec't to review,modification or
<br /> revocation.
<br /> Fl) Construction,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment. =
<br /> 12) The Penniuee shall submit an annual report docwnenting compliance with the UST Permit Conditions within 30 days of the date of the issuance of this permit. '
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<br /> 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.
<br /> 14) A Conditional Permit maybe revoked if corrections specified on the inspection report are no,completed by;the date(s) indicated. " n r
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<br /> PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s)Valid only for: SAN JOAQUIN CO HEALTH CARE x f>
<br /> rr 1'c'S n
<br /> Tank Owner: S J GENERAL HOSPITAL
<br /> THIS FORM MUSTBE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> SJ GENERAL HOSPITAL Facility ID
<br /> Regulated Facility: a ' ; FA0000086
<br /> HOSPITAL500 W int ID
<br /> 85
<br /> FRENCH CAMP ssued 2/4/2011 4 $
<br /> r
<br /> Bdr
<br /> lingAddress ATTN MUSE GEORGE DIETARY
<br /> SJ GENERAL HOSPITAL � s a �
<br /> PO BOX 1499
<br /> 'FRENCH CAMP CA 95231-`!,-,.r ,i �` '� .: "� f' ; •
<br /> 7028 rpt
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