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F.
<br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT'
<br /> 600 E. Main St. • Stockton,CA 95202-3029 • Phone(209)468-3420
<br /> Donna Heran,R.E.H.S.,Director
<br /> ENS„IRONMENTAL H ;A,LTH �
<br /> SAN JOAQUh�l'COUNTY CERTIFIED UNIFIED PROGR�YJ1t A.C.E1�CY
<br /> PERMIT TO OPERATE
<br /> Program Permit Permit
<br /> Record ID Number Program Code and Description Valid
<br /> PR0516262 PT0011201 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1!112009 To 12/31/2009
<br /> Hazardous Waste Generator Program:
<br /> In order to maintain the permit to operate,Hazardous Waste Generators shall comply with California Health an�Iafety Code,Div.20,Chap.6.5,Art.2-13,
<br /> +^e�25100 et seq,and Title 22,California Code of Regulations,Chap.20
<br /> ,..r - --------- --- -----------------------------------------------------
<br /> 7----P 4 2300-UNDERGROUND STORAGE TANK FACILITY 1!1/2009 To 12/31/2009
<br /> d Storage Tank Pronram: -
<br /> Callfornla Health and Safety Code, Div.20,Chap._6.7 and Title 23,California Code of Regulations,Chap_16
<br /> ---- --- ------
<br /> ----- - --- -- -------- - ----- ---
<br /> Tank# Tank Record ID Permit# Capacity Contents Permit Status teA% Leak Detection
<br /> n,
<br /> ,,390002$1',141)50541 hfT0007988 10,000 DIESEL Active,billable ontinuous Interstitial Monitoring
<br /> Unde>groiin -,,
<br /> 8 Storage Tanl�t`Per'mit Conditions r
<br /> 1) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid and/or the UST systeri(s).fuils to retrain in compliance with these Permit Conditions
<br /> ; ) :In order to maintain the operating permit,the owner and operator shall comply with the H&S Code,Div.20,Chap,6.7 and 6.35;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(EHP)and are considererd US Permit Conditions. The approved
<br /> 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 /> 6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,orMOMfrequently ifr peeifaesl 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:'5,1gi”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 fora period ofta l;.6t;Ct[ee 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 tank contents or usage),the Permit to Oparate'VA114'su"'b,�eCtaf�review,modification or
<br /> revocation.
<br /> I,1) Construction,repair and/or removal pennits 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: J
<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 /> z
<br /> 14) A"Conditional"Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated: S
<br /> iY Y
<br /> PERMITS TO OPERATE are NOT TRANSFERABLE
<br /> and may be SUSPENDED or REVOKED for cause.
<br /> PER
<br /> MTs� V i d only for:
<br /> SAN
<br /> - JOA UIN COC ..
<br /> O HEAL
<br /> � ) Y 4 HEALTH CARE
<br /> Tank Owner: S J GENERAL HOSPITAL
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility: SJ GENERAL HOSPITAL Fility ID FA0000086 r
<br /> 500 W HOSPITAL RDAoIuttCIID AR0000085: R r'
<br /> FRENCH CAMP CA 95231 r Issued 2/4/2009 J
<br /> A_
<br /> ATTN MUSE, GEORGE DIETARY
<br /> 6ENERAL HOSPITAL
<br /> '(?.> 1 499 s
<br /> FRE11`.:CAMP CA 95231
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<br /> 7023.tpt� r - �
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