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<br /> SAN JOAQUL. OUNTY ENVIRONMENTAL HEAL�EPARTMENT
<br /> 600 E. Main St. • Stockton,CA 95202-3029 • Phone(209)468-3420
<br /> Donna Heran,R.E.H.S., Director
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<br /> ENVIRONMENTAL HEALTH -, ,t u.
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit d �4� t,; 'Vit? �. ? 'rf r ,= - t 5 Y+ "' Valid
<br /> Record iD Number Program Code and Description ,5�.- rx
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<br /> PRO514053 PT0010248 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2008 To 12/31/2008
<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,
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<br /> Sec. 25100-- seg,and Title 22,California Code of Regulations,Chap.20______ _______ �.
<br /> Underground Storage Tank Program:
<br /> 0 ^UNDERGROUND STORAGE TANK FACILITY ;;} 1/1/2008 To 12131/20081 P�
<br /> California Health and Safety Code, Div.20,Chap._6.7 and Title 23,California Code of Regulations,Chap. 16_
<br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2362 1 390002323970239701 PT0006752 8,000 DIESEL Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> BOE ID# 44-043708
<br /> Underground Storage Tank Permit Conditions
<br /> I) 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 ern+
<br /> 2 In order to maintain the operating ennit,the owner and operator shall comply with the H&S Code,Div.20,Cha 6.7 and 6.75;and CCR,Title 23,Cha 16 and 18,as well as an conditions a '
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<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 bout 4�
<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 Pennittee 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 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 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 Operate will be subject to review,modification oP
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<br /> I1) Construction,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment.
<br /> 12) The Pennittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the date of the issuance of this permit..i
<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. t ria
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<br /> 14) A"Conditional"Permit may be revoked if corrections specified on the inspecttgttirept)rtare not completed by the date(s) indicated t
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<br /> PERMITS TO OPERATE are NOT TRANSFERABLE s
<br /> and may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s)Valid only for: KAISER FOUNDATION HOSPITAL :. p
<br /> Tank Owner: KAISER FOUNDATION
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility: KAISER FOUNDATION MANTECA a " " *tAl. Facilit ID
<br /> �" y FA0003978
<br /> 1777 W YOSEMITE AVEC a �s� � , � p1}� s t ,Account ID
<br /> �" >7 AR0003603
<br /> ,G MANTECA CA 95337S ,U �' � 6 Issued 2/8/2008
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<br /> Billing Address:
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<br /> KAISER FOUNDATION — MAN TECA sr � 3
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<br /> 7373 WEST LN
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<br /> STOCKTON CA 95210 4x +�'V, *r h� s : � I�nas� °
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