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<br /> SAN JOAQL'>i:�COUNTY ENVIRONMENTAL HEALEPARTMENT
<br /> v 600 E. Main St. • Stockton,CA 95202-3029 • Phone(209)468-3420 �, � $ '
<br /> Donna Heran,R.E.H.S.,Director i
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<br /> 'ENVIRONMENTAL HEALTH'. _
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE ��
<br /> Program Permit Permit
<br /> Record ID Number Program Code and Description Valid
<br /> PRO514210 PT0010413 2227-HAZARDOUS WASTE GENERATOR FACILITY 1/1/2008 To 12/31/2008
<br /> t, Hazardous Waste Generator Program:
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<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.
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<br /> " 232494 2300-UNDERGROUND STORAGE TANK FACILITY r
<br /> 1/1/2008 To 12131/2008
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<br /> tderground Storage Tank Program: ��Rt10
<br /> California Health and Safety Code, Div.20,Chap._6.7 and Title 23,California Code of Regulations,Chap_ 16
<br /> -- ---- ---------- --- -------- --- - ----------------------------------------
<br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2362 1 390002324940249401 PT0004562 12,000 DIESEL Active billable DOUBLE WALLED Continuous interstitial Monitoring
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<br /> Underground Storage Tank Permit
<br /> Conditions
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<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 rema.ndm compliance with these Permit Condifions.
<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(EMD)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 perntit t � f,ry�ffi
<br /> 6) The Permittee shall perform testing and preventive maintenance on all leak detectioninoriitoring equipmerit ani wally;or more frequently if specified by'the equipment manufacturer,and
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<br /> provide documentation of such servicing to this office.
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<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 Pl '
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<br /> $' 8) Written records of all monitoring performed shall be maintained on-site by the operator and be available for inspection for a period of at least three years from the date the monitoring was
<br /> performed.
<br /> 9) The EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change. iia�4.` I�a,�`ri�,,�r �
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<br /> f,, 10) Upon any change in equipment,design or operation of the UST system(including change in tank contents or usage),the Permit to Operate will be sulijeci to review;imAh anon or
<br /> revocation.
<br /> 4'a 11) Constriction,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment.
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<br /> 12) The Pennittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the date of the issuance of this perimt.
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<br /> 13) This Permit to Operate shall not be considered permission to violate any laws ordinances or statutes of any other Federal,State or Local agency. �
<br /> ` 14) A"Conditional"Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated.. ,r � t
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<br /> PERMITS TO OPERATE are NOT TRANSFERABLE
<br /> w _ and may be SUSPENDED or REVOKED for cause. 14
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<br /> PERMIT(s)Valid only for: KAISER PERMANENTE
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility: KAISER PERMANENTE ` ` �` k` � '`'Facilit ID
<br /> FA0002602
<br /> 7373 WEST LN .n?..;. �,�y,'f '$=,1*'1 Yy�.!>r �Q.,1' ' ,� �yzr a i.�C'}.w-
<br /> / , i y g n �, Account ID AR0004672
<br /> s STOCKTON CA 95210'` issued r
<br /> 2/8/2008
<br /> r" Address. ATTN "41,;
<br /> 41 $ANNABlllin MOSH
<br /> KAISER PERMANENTS
<br /> 7373 N WEST LN
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<br /> TOCKTON CA 95210
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