|
l, 'g a^ " °s � •� > A 5;l � ��„f ��+'C�., G y* r� f a x ��{,� �' *.'+t�'"°� ,.ty��".St ti `�� t' ��, ;sem'# c -"r�+.� .�
<br /> 03.'_ sy eek'W :.7Ci r.,
<br /> • �T ;§ �r..t^ 1 , Y t �r�''�,�JJ',jii�k+vtym'yF�.'cc ..t',
<br /> r %n'
<br /> `t :* - y -�
<br /> i � w �
<br /> 'A:
<br /> V.
<br /> r SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT �Alk
<br /> '
<br /> h 600E Main St. • Stockton, CA 95202-3029 • Phone(209)468 3420
<br /> y,
<br /> Donna Heran, R.E.N.S.,
<br /> N
<br /> ` - 3 i Citi W w� ''Fy 4. .,.
<br /> ENVIRONMENTAL HEALTH '� � K 3 4 : ;,t . . �,
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATEi>�
<br /> Program Permit Permit
<br /> Record ID Number Program Code and Description Valid
<br /> PRO514053 PT0010248 2220 SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 111/2011 To 12/31/2011
<br /> Hazardous Waste Generator Program 's.; e t
<br /> s" F
<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 /> PR0232397 .2300-UNDERGROUND STORAGE TANK FACILITY � II/l/20,11-3o 12/31!2011
<br /> Underground Storage Tank Program: ;
<br /> California Health and Safety Code, Div.20, Chap._6.7 and Title 23,California Code of'Re ulations Chap 16
<br /> - -- ----- -- ---- -9 --- ----------------------------------- -
<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 /> { 5
<br /> Underground Storage Tank Permit Conditions .
<br /> a •` #i Avg r v Tsr N+ .:
<br /> I) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid and/or the UST systems)fails to remain in comphanGe 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.
<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 /> 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 /> $) 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 or
<br /> revocation.
<br /> 11) Constriction,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment. u7' 3r t,
<br /> F-
<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 /> 14) A Conditional"Permit may be revoked if corrections,specrfiec)'vttthe inspection report are not completed by the date(s) indicated.
<br /> -�^ -- 1-
<br /> --------------
<br /> --------------------------
<br /> PERMITS"TJ°OPERATE may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s)ValiTana only fHOSPITAL
<br /> FOUNDATION ,-,
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> A
<br /> KAISER FOUNDATION -MANTECA Facility ID FA0003978
<br /> Regulated Facility:
<br /> 1777 W YOSEMITE AVE �, E � , r �k ;v w Xt Account lD gR0003603
<br /> MANTECA CA 95337 2/4/2011 '
<br /> f`°. w ti t.tay+�xZ. ; �•'i` tn`�r ;j'�y'y' t1 t"rki''��yr"rk� ',-," st .may a �,° `i
<br /> 4",
<br /> 9!J,
<br /> .
<br /> Bilking Address: Y EVS , rnd}'�7�+4#e'rs`#� �`l`l' 3 � h �k I�� ' •�r,>f;`�.t'r�� '��,�F�sB s-� ;`,F� f
<br /> ATTNATTN: LEONARD '3
<br /> KAISER FOUNDATION — MANTECA Y* `r
<br /> 1777 W YOSEMITE AVE r �� Y � s ' � �
<br /> 1 } Y 'v r�s„a sfwU t�
<br /> MANTECA CA 95337 v r 3kf ' °t �' s* crivt " sc "{ ,Nat
<br /> v r:;S :i �` .r '` r.`'s-� #:✓ �e L °ti i r.< 4 �,`P.
<br /> 4 �' { .�4 `.l"'` s:x td A.. a �: xxX
<br /> '� n k�..�'�r(„F, `.h- y
<br /> ,�i :':-�`s,:.—�-•; >.a "�..t. ,�i�d.- �,„",";-;�3'�`F ° `s;9, :�.', "'-"t-. `.a".a-.s'`T'.d�.� �sY.... a.2, ,..+'�� `'�.'a .iY�.£'uTr�:x;�a .sa,2-.ri.�,. ,.:
<br />
|