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<br /> h , �-4 ' SAN JOAQU OUNTY ENVIRONMENTAL HEALT EPARTMENT
<br /> �J, �
<br /> �
<br /> kt,A 600 E. Main St. • Stockton, CA 95202-3029 • Phone(209)468-3420
<br /> t Donna Heran, R.E.H.S., Director
<br /> ENVIRONMENTAL HEALTH R"=y
<br /> ' Y ;. : ' SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY'
<br /> PERMIT TO OPERATE
<br /> Program Permit
<br /> Record ID Number Program Code and Description k,< + t` ! 4 Permit
<br /> 1- �u.
<br /> Valid
<br /> PRO516262 PT0011201 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2010 To 12/31/2010
<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 et seq,and Title 22,California-Code of Regulations,Chap.20.
<br /> - -
<br /> PR0231614 2300-UNDERGROUND STORAGE TANK FACILITY 1!1/2010 To 12/31/2010
<br /> Underground Storage Tank Program r
<br /> California Health and Safety Code, Div.20,Cha 6.7 and Title 23,California Code of Regulations,Cha 16
<br /> ----------------------------------------------------------- _9_
<br /> kP/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> r 2362 6 390002316140505419 PT0007988 10,000 DIESELActive,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> ,. BOE I #: 44-4245Fi2
<br /> is
<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 systems)fails to remain in compliance with these Permit Conditions.
<br /> i t. 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.
<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 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 /> lly 1'
<br /> r 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 permit.
<br /> x ' 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
<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,Art.5,and the approved Emergency Response Plan.
<br /> t. 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 />�N' 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 /> k
<br /> { ]0) 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
<br /> revocation.
<br /> ' 11) 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 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 any laws,ordinances or statutes of any other Federal,State or Local agency. ($ a
<br /> I
<br />�) 14) A 'Conditional"Permit may be revoked mf corrections specified on the inspection report are not completed by the dates) indicatede
<br /> f r,, � ;1; ��'it�. �, '�," Y �,.p"�,, .0 �rlw a s ��'�✓ ��.,tm"`t fiS;�';, » {�,f~' � .x4'r��'=;n ,..
<br /> PERMITS TO OPERATE are NOT TRANSFERABLE
<br /> and may be SUSPENDED or REVOKED for cause. ' `
<br /> PERMIT(s)Valid only for: SAN JOAQUIN CO HEALTH CARE
<br /> Tank Owner: S J GENERAL HOSPITAL
<br /> r THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility: w-:
<br /> a ty: SJ GENERAL HOSPITAL fi ` � � Facility ID FA0000086
<br />} r t ak h 1 .
<br /> 500 W HOSPITAL RD r `�' axr4AR0000085
<br /> `. M� � Account ID
<br /> FRENCH CAMP CA 95231 5 ' err i 5 t Issued 2/10/2010
<br /> Billin Address:
<br /> x 9 ATTN MUSE, GEORGE DIETARY 4z
<br /> SJ GENERAL HOSPITAL Al l
<br /> req, ' '
<br /> PO BOX 1499 oyer "` tg mo- x # aT�
<br /> ti ar:� rl z'-V,
<br /> r ' w FRENCH CAMP CA 95231
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