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<br /> 77,
<br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 304 E.Weber Ave.,Third Floor 9 Stockton,CA 95202-2708• Phone(209)468-3420
<br /> Donna Heran,RF-H.S.,Director
<br /> E "VIRONMENTAL •HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE t
<br /> Permit
<br /> Program Permit
<br /> Record ID Number Program Code and Description Valid
<br /> PR0516262• 71T0011201 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 111/2006 To 12/31/2006
<br /> Hazardous Waste Generator Program:
<br /> In order to maintain the permit to operate, Hazardous Waste Generators shall cornply With.Califomia hlaa Yt and oaf y Coda,Div.20,Chap.6.5,Art.2-13,
<br /> Sec.25100 et se and Title 22,California Code of Regulations,Chap.20: __ ___ ____________________________-.---._-_----_-_---- -----------
<br /> ----------------------------------------- .. _
<br /> ------- - - w
<br /> PRO231614 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2006 To 12/31/2006
<br /> Underground Storage Tank Program:
<br /> i California Health and Safety Code,Div.20, Cha .67 andTitlep3 California Code Regulations, C_hap. 16_ _____-___ -------_------
<br /> ------------------ - ---
<br /> P/E Tank# ank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2362 6 316140505419 PT0007988 10,000 DIESEL Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<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 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. °1.
<br /> 3), If the Tank Operator(s)is different from the Tank Owner,or if the Permit t6l0perate 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 /> 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,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 aspill,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 /> "$) 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 /> A
<br /> performed. ' y'
<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 Operate will be subject to review,modification or d
<br /> revocation.
<br /> 11) Construction,repair and/or removal permits are required from the EHD prior to any change;repair or retii&41 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.
<br /> k..
<br /> 14) A"Conditional"Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated. t<J
<br /> PERMIT TO OPERATE are NOT TRANSFERABLE
<br /> and may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s)Valid only for: SAN JOAQUINtO HEALTH CARE
<br /> Tank Owner: S J GENERAL HOSPITAL
<br /> "PHIS FORM,MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMI8,E3
<br /> Regulated Fact: SJ GENERAL HOSPITAL* . - Facility ID'.FA0000086
<br /> 500 HOSPITAL RD _,_. Account ID AR0000085
<br /> FRENCH CAMP CA 95231 issued 2/3/2006
<br /> Billing AddreATTN ACCOUNTS PAYABLE t
<br /> SJ GENERAL HOSPITAL*
<br /> PO BOX 1499
<br /> FRENCH CAMP CA 95231
<br /> ?OZ3:rpt
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