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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 304 E.Weber Ave:,Third Floor•Stockton,CA 95202-2708•Phone(209)468-3420 Donna Heran,RE-H.S.,Diiactiir ENVIRONMENTAL HFALIE' SAN,JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM ACNCY - PERMIT TO OPERATE: Program Permit Permit Record-ID, : Number, Program Code and Description Valid PR0516262 PT0011201 2220 SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 111/2007 To 12/31/2007 Hazardous Waste Generator Program: In order to maintain the permit t o erate,.Nazardous Waste Generators shalt comply.vrith California Heal#h and Safety Gode,.D.iv:2t7,Chap.6.5,Art,2-13, Sec 25100 et seg and T 2�Ca rnta Gode of Regulations,Chap.20 -- - ---- ----- --------- --------- PR0.231614 200.- NDERGROUNQSTORAGE TANK FACILITY` 1/1/2007 To 12/31/2007 Underground StoraTank Pro California Health an Safety C Dlv 20 Chap,6.7 andl Title 23,California Code of Regulations Chap_16 P/Eank# Tank Record 11) Permit#:' Capacity Contents Permit Status .SystentType Leak Detection 23f 2 6 390002316140505419 PT0007988 .:10;000 DIESEL Active,billableOUBLE•WAtLED continuous Interstitial Monitoring Underground Storage Tank Permit Conditions 1'), The P.etmit to C)perate will become void if Annual Permit Fees and Service Fees are, paid and/or the UST system(s)fails to retuaiq itrcah Phanpe with these Permit Conditions:, 2) Iri ordetto maintain the operating permit,the owner and operator shallcomply with the H&S Code,Div.20,Chap.6.7 and 6:75;Nod C(*,Titte 23,Chep.16 and 19,as well as any conditions gstablished by San Joaquin County,. 3) .If the Tank Operator(s)is different from the Tank Oviner;•or if the Permit to Opelafe is issued to a person:odier Ulan the owner orapetatoroftfie.t mk tho Permittee shall ensure that both the Tank Owner and tank Operator receive a copy of the permit. ) Written fvionitoring Procedures and an Emergency Response Plan must be approved lt)!the EnPiroumental Health (Sh3tJ)andtge eonsiderwO UST Permit Conditions. The approved monitoring,response,and plot plans shall be maintained onsite with the permit. ' $} <".The Permittee"shall comply with the monitoring procedures referenced in this permit. 6) .The;Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,'oc.Mioi ftEquattly lf4*mfledby.theroquipmentmanufacturer,and pigvide documentation of such`servicing to this office. 7)- 11a.ttfe event of a$pill,leak,or other unauthorized release;the Permitee shall comply with the requirements of Ti$e23 CCR,Chap.IC ArL$;aline appioved Emergency Response Plan. 8) .'Written reebr&6fall monitoring performed shall be maintained on-site by the-operator and be available for inspection for,a period'of atdeast thiee years from the date the monitoring was :performed 4} . of any change in ownership or operation of the UST system within 30 days of such change. The�EHD sW be nWjii4 Uporiey Change rn equipment,design ob operation of the UST system(including change in tank contents or usage),the .q.mrt to.Oper%w wi111 a subjectio review, t� ;tevocation. ; required-from theConstrction,tepa r and/or removal is are &Hb to anye> gt.repair or removal of UST sXstema iPor mertt. P j 12). ;The Permitteeshall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the date of the is8ii6nee of this pemnt: :11) ThisPermit to Operate shall' be considered permissiotrto date any laws,ordinances or statutes of any otlret Federal;State or'Lpcai agenpy.. 14) A."CAnd[tibnal"Pe{rsui maybe revoked if corrections speeifudon"the inspection report-are not completed by the dates) rrtd"ted: PERMITS TO OPERATE Are NOT TRANSFERABLE and may be SUSPENDED or REVOKED for cause: " PERMIT(s)Valid only for: SAN JOAQUIN CO HEALTH CARE Tank Owner` S J GENERAL HOSPITAL ' THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES Regulated Facility: SJ GENERAL HOSPITAL* Facility.11)'FA0060086 500 W HOSPITAL RD _AccountlD AR0000085 FRENCH CAMP CA 95231 Issued 2/13/2007 Billing Address:.:, ATTN:.: ACCOUNTS PAYABLE SJ GENERAL HOSPITAL* PO BOX 1499 FRENCH CAMP CA 95231 • - r