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SAN JOAQUIl*UNTY ENVIRONMENTAL HEALT*PARTMENT
<br /> 600 E. Main St. • Stockton,CA 95202-3029 • Phone(209)468-3420
<br /> Donna Heran,R.E.H.S., Director
<br /> ENONMENTALIEtLT
<br /> $AN,JQAQUIN C&IM CERTIFIED UNI
<br /> FIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit Permit
<br /> Record ID' Number_•' �gramde
<br /> :.Co 'anOlbesenPtron. Valid
<br /> PRO516262 PT0011201 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2008 To 12/31/2008
<br /> Hazardous Waste Generator Proaram:
<br /> In order to maintain the;permit to'operate Hazardous Waste Generators shall comply Wifh'Galiforrria Health and Safety Code, Div.20,Chap.6.5,Art.2-13,
<br /> Sec 251011 et sea,and tl_e_ •Galtfierrlta ode of Regulations,, hap 20. -
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<br /> R023161 2300- ROIJND ST0Ft4Qt TANK FACILITY 1/1/2008 To 12/31/2008
<br /> LI-W_emroundSo e,
<br /> Cattfom Safety Code biv 20,-q' la Code of Regulations Chap_16
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<br /> P/E Twk Tank Record ID Permit# Capacity Contents ermit tattr5 System Type Leak Detection
<br /> 2362 6 390002316140505419 PT0007988 10;000 DIESEL Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> Undergeopntl'Storage Tank Permit Conditions
<br /> 1) The Permit to Operate:will become void if Annual Permit Fees and Service Fees are not paid ivaftrthe 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 comply with the H&S Code,Div.20,Chap.6.7 and 6.75;and CCR
<br /> established by San Joaquin County. ,Title 23,Chap.16.atrd 18,as well as any conditions
<br /> 3) If the Tank-Operator(s)is different from the'Tank Owner,or:if the Permit toOperate is issued to a person ot)terUten tidowner or operator of the tank,the Permittee shall ensure that both
<br /> the Tank Owner and,tink Operator receive"a copy of the permit "
<br /> 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Dbparhnent(EM)and are considererd UST Permit Conditions. The approved
<br /> monitoring,response,and plot plans shall be maintained onsite.with the.pemrit.. J.
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<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,or more frequently ifspecified by the equipment manufacturer,and
<br /> provide.documentation of such servicing to this office
<br /> 1) In the event of a spill,leak,or other unauthorized release,the Perinitee shall comply with the requirements of Title 23 CCR,Chap.16,Art.5,and the approved Emergency Response Plan,
<br /> 8)' Written records of all rrtonitoring 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 EIID shall he notified of arty chagge in ownership or•operation of the UST system within 30 days of such change
<br /> 10) Upon any change in equipment,des ga or operation ofthe UST system(including change,in tank contents or usage),the.Permit to Operate will be subject to review,modification or
<br /> revocation.
<br /> l I) Construction,repair andlor removal permits are required from:the EHb prior to any,change,repair or removal of iJST 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 permni'ssion to violate any laws,ordinances or statutes ofany other Federal,.State or Local agency.
<br /> 14) A"Conditional"Permit maybe revoked if corrections specified on the inspection report are not completed by the date(s) indicated.
<br /> PERMITS TO OPERATE are NOTTTRANSFERABLE
<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 /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated`Fac w., SX,'GaENEMAL HOSPITAL FacilkYjD .FA0000086
<br /> 500'.W HOSPITAL RL? Account ID :ARO
<br /> 000085
<br /> FRENCH CAMP CA 95231 ;.. 'Issued'2
<br /> /8/2008.: _
<br /> BiilincjAddress: ATTN ': MUSE, ,GE(J'R,,E DIETARY`
<br /> S 'GENERAL HOSPITAL
<br /> P0.'HqX 14 9.9
<br /> FRENC14. OAI'1P . CA 95.231
<br /> 70arpt
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