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<br /> y fifi ^tf5 SAN JOAQLIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
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<br /> 600E Main St. • Stockton,CA 95202-3029 • Phone(209)468 342Wj,'
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<br /> =` Donna Heran R.E.H.S Director J`
<br /> C •�I S K�� k. S S �-
<br /> ` � ENVIRONMENTAL HEALTH . r, .
<br /> SAN JOAQUIN COUNTY CERTIFIED
<br /> o UNIFIED PROGRAM
<br /> AGENCY
<br /> ,tet s z t _
<br /> PERMIT TO OPERATE
<br /> Program Permit Permit
<br /> Record ID Number Program Code and Description Valid
<br /> + '.PR0514053 PT0010248 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2012 To 12/31/2012
<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 /> ---------- -- --------- -- ------- --------
<br /> i PR0232397 2300—UNDERGROUND STORAGE TANK FACILITY 1/112012 To 12/31/2012
<br /> Underground Storage Tank Program " a4
<br /> California Health and Safety Code,Div. --- 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 /> t`2362 1 390002323970239701 PT0006752 8,000 DIESEL DOUBLE WALLED Continuous Interstitial Monitoring
<br /> r�. Active billable
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<br /> C` � .. ,.,. .. 2Y ,`� �r°CL�'r`y`°u'�$ �i *�"'°ip.S � .zt'%k i,,er?V'�+4' �.t�3��syr >�i��r}p�i� �'��+�v.��.• t •�xh„r�'����� `� '��i' `c•"
<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 Condtti'ons. `
<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 Qonditions
<br /> ,•Sig '. 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 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 /> !%:., t monioring,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.
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<br /> 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 /> r f7) 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 /> rformed.
<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 /> r 10) Upon any change in equipment,design or operation of the UST system(including change in tank contents or ,the Permit to O usa e
<br /> revocation. g ) perate will be subject to review,modification or
<br /> 1) Construction,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment.
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<br /> I2) This Permit to Operate shall not be considered i 1�-
<br /> pe permission to violate any laws,ordinances or statutes of any other Federal,State or Local agency. iA a a p
<br /> 13) A Conditional' Permit may be revoked 5f corrections specified on the inspection report are not completed by the date(s) indicated.
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<br /> t PERMITS TO OPERATE may be SUSPENDED or REVOKED for cause.
<br /> Y PERMIT(s)Valid only for: KAISER FOUNDATION HOSPITAL to h r
<br /> ':�' <' fi Tank Owner: KAISER FOUNDATION
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<br /> ' THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> KAISER FOUNDATION MANTECA t: Facility
<br /> Regulated Facility: y ID FA0003978 �
<br /> 1777 W YOSEMITE AVE
<br /> R ` z Account IDr '¢
<br /> MANTECA CA 95337 � ,,; �,r Issued ` ,.
<br /> 2/10/2012
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<br /> BillkngAddres s: ATTN ATTN: LEONARD POKLAY—EV
<br /> r� € KAISER FOUNDATION — MANTECA
<br /> � Yz 1777 WYOSEMIT `+
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<br /> MANTECA 95337 E AVE
<br /> t rxzp�,F"ro a CA.
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