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<br /> SAN'JOA QU _ UN TY ENVIRONMENTAL HEALT PARTMENT
<br /> F,t1C F. Main St. • Stockton,CA 95202-3029 • Phone(209)468-3420
<br /> Donna Heran,R.E.H.S., Director
<br /> • rt .n �' s 3�;
<br /> ENVIRONMENTAL HEALTH--
<br /> SAN
<br /> EALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY `S` +
<br /> PERMIT TO OPERATE
<br /> Permit
<br /> Program Permit
<br /> Record ID Number Program Code and Description * e c ' ,.;` ,
<br /> Valid
<br /> PR0514053 PT0010248 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 /> PR0232397 2300-UNDERGROUND STORAGE TANK FACILITY c r ;;i 1/1/2010 To 12/31/2010 5 M
<br /> a Underground Storage Tank Program:
<br /> California Health and Safety Code, Div.20,Chap._6.7 and Title 23,California Code of Regulations Chap 16
<br /> -------- --- --- --- ------- --- r
<br /> r ; I P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 23& 3970239701 PT0006752 8,000 Active billable s
<br /> DIESEL DOUBLE WALLED Continuous Interstitial Monitoring '7
<br /> 1 � p�
<br /> ge Tank Permit Conditions1
<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 r
<br /> established by San Joaquin County. (�
<br /> ' ) 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 /> r3) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental HeallthDepartment(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 /> G
<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 /> 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 wns
<br /> performed.
<br /> e Pe
<br /> 9) The EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change F ^
<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,modificatiwn 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. #+v
<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 /> +
<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 /> e ,Yr; Tv
<br /> 14) A"Conditional"Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated " ' �j t ` ;`a
<br /> a
<br /> V.y ; PERMITS TO OPERATE are NOT TRANSFERABLE
<br /> and maybe SUSPENDED or REVOKED for cause
<br /> PERMIT(s)Valid only for: KAISER FOUNDATION HOSPITAL V F
<br /> Tank Owner: KAISER FOUNDATION .-
<br /> " ' THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility: KAISER FOUNDATION - MANTECA Facility ID FA0003978
<br /> p e x
<br /> 1777 W YOSEMITE AVE rz ` ✓G ?i 1 Account ID AR0003603
<br /> MANTECA GA 95337 y+ M z
<br /> .r ..s`r x _° c s S m,«f ISSUed
<br /> 2/10/2010
<br /> Billing Address ATT'
<br /> N EVS '_'�`' Atl N x R "'w 8r1.'zt x • ��` y i i^a�
<br /> B 7
<br /> s > KAISER FOUNDATION MANTECA
<br /> 3777 W YOSEMITE AVE ;4 p �. �; � `
<br /> MANTECACA 953374
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